Multiple Brain Abscesses Complicated by Enterobacter Cloacae: A Case Report

Brain abscess is a dangerous neurological condition with a high mortality when not treated appropriately. In developing countries the incidence and burden of brain abscess is doubled than developed nations. The challenge of diagnosing this condition early on plays a critical role in its progress towards an advanced burden of the disease. Majority of brain abscess presents as a solitary finding, which makes multiple abscesses an uncommon presentation. There is a wide range of pathogens that can cause pyogenic abscess. However, the association of abscess with opportunistic pathogens from distant sites is much less understood. This report represents only the third reported case involving multiple brain abscesses in the setting of chronic Enterobacter cloacae pulmonary infection on an adult male with normal immune status, a unique opportunity in exploring the pathogenic mechanism and clinical process of this condition.