An unusual cause of cerebral abscess

brain substance, produced by a variety of pyogenic organisms. Infection originates via extension from adjacent foci or by metastasis through blood stream or thorough septic emboli from other sources of intravascular infection. Although Enterococcus spp account for one of the majority causes of brain abscesses, the true incidence of each of Enterococcus spp causing brain abscess is not known. Most reports mention only major species of Enterococci and go no further in their identification. Enterococcal meningitis tends to occur in patients with history of urinary-tract disease, anatomic defects of the central nervous system, previous neurosurgical procedures, or enterococcal endocarditis.1-3 Enterococci, formerly classified with fecal streptococci, have been recognized to be of fecal origin since the beginning of this century, the usual ecological niche for Enterococcus avium