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What is Patient is having scanty, foul smelling discharge from middle ear, develops fever, headache and neck rigidity. CT of the temporal lobe shows a localized ring enhancing lesion, which of the following is least likely cause of this condition? and explain in detail?
Commonest organisms in otogenic brain abscess include gram negative (Proteus, E coli, Pseudomonas) and anaerobic bacteria along with Staphylococcus and Pneumocci. H. Influenza infection is a rare cause of otogenic abscess.