145.4 📌 章末速蚘

  • Brain abscess: MRI ring-enhancing + DWI restricted
  • Empirical: ceftri + metro + vanco (community); + pip-tazo if otogenic
  • Surgery: > 2.5 cm, mass effect, fungal, refractory
  • 6-8 weeks IV antibiotic
  • Subdural empyema: emergency drainage + 4-6 weeks
  • Spinal epidural abscess: back pain + fever + neuro = MRI + surgery + vanco/ceph 6 wks
  • HIV ring lesion: toxo first (sulfadiazine + pyrimethamine) vs lymphoma (EBV+)
  • DM + bacteremia: high risk hematogenous abscess