Se diagnostica de meningitis bacteriana y se inicia tratamiento con penicilina intravenosa. Se obtiene LCR purulento y, hemograma con Se realiza el drenaje de los abscesos y se instaura tratamiento con cefotaxima, vancomicina y metronidazol. A las 48 h presenta somnolencia, afasia nominal y hemiparesia derecha. RM craneal: pansinusitis izquierda, tres colecciones loculadas de menos de 1 cm subdurales frontales izquierdas y cerebritis frontal izquierdo.

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