Letter to Editor - Brain abscess due to Streptococcus sanguis

A right-handed 30-year-old male suffered an injury in a road traffic accident. On admission, his neurological condition was graded on Glasgow coma scale as E₁ M₅ V₂.There was a 10 cm-long lacerated wound in the right frontonasal region. Investigations showed a fracture of the right frontal bone, orbital rim, nasal and ethmoid bones. Exploration revealed a a large defect in the basal dura. The right frontal lobe contusion was excised and repair of the basal dural tear was done with temporalis fascia and fibrin glue. The patient was then placed on broad spectrum antibiotics. Following surgery the patient developed CSF rhinorrhoea and had to undergo therapeutic lumbar drainage of CSF. The patient was discharged on the 18^th day in a stable condition (Glasgow coma scale=E₄ V₄ M₆).