Intracranial Infections Case 1

A 22-year-old man is brought into the department by ambulance having been found by his sister that morning, drowsy and confused.

On examination, he is febrile at 39.10C and does not seem to be moving his right arm or leg spontaneously.

The ambulance crew have also brought in some co-amoxiclav they found with him at home. He has been taking this for chronic sinusitis.

You are concerned he may have a brain abscess.

Which three symptoms form the classic triad are associated with intra-cerebral abscess?

Select one or more options.

The patient’s sister arrives in the ED and states that the patient had complained of a suddenly worsening headache that morning, prior to becoming drowsy. What would be your concern now?