Conservative management of a large brain abscess in a child with severe manifestations: A case report from Syria

Otogenic brain abscesses are rare but usually life-threatening conditions particularly in developing countries. Our patient attended to the emergency department with extremely serious manifestations due to a large brain abscess. The borderline dimensions of the abscess (2.4 cm) with (GCS <12) as well as the lack of surgical capabilities were the factors that addressed to treat her with the available medication only. Fortunately, 2-year follow-up did not show any recurrence. This case sheds a light on unusual management of large abscesses in imperfect circumstances, which makes it high educational value.