This episode of the Clinical Problem Solvers podcast, "The Consult Question," features a discussion on brain abscesses with infectious disease experts Dr. Jenn Davis and Dr. Laila Woc-Colburn. Dr. Woc-Colburn uses a four-step approach (host, syndrome, pathogen, treatment) to analyze a complex case of a 60-year-old female with a history of alcohol use disorder, presenting with brain lesions, lung issues, and skin findings. The panel explores various diagnostic possibilities, including bacterial, fungal, and parasitic infections, with a focus on differentiating between nocardia and actinomyces. Ultimately, the patient is diagnosed with actinomyces, stemming from a dental source, and treated with antibiotics and dental intervention. The discussion emphasizes the importance of source control, drainage, and judicious antibiotic use.
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