Bacillus cereus causing brain abscess in an immunocompetent patient with craniotomy

A 44 years old, immunocompetent, male patient was admitted to the hospital with fever and left hemiparesis. Patient had undergone decompressive craniotomy with partial clot evacuation at another institute for right Prieto-occipital intracranial haemorrhage (ICH) and subarachnoid haemorrhage (SAH) four weeks back. CT scan on the day of admission, showed peripherally enhancing brain abscess in right parietal lobe with surrounding oedema which was at the surgical site. Pus evacuated from abscess grew . Patient was treated with intravenous vancomycin for two weeks with a favourable outcome. Non-gastrointestinal infections due to are emerging.