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Community-Acquired Meningitis Complicated by Pyogenic Ventriculitis: A Case Report
Ventriculitis is the inflammation of the ependymal lining of the ventricles in the brain which usually occurs as a complication of meningitis, intraventricular devices, intracranial surgery, or brain abscess. Common clinical features include fever, altered mental status, headache, and neck rigidity....
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9077952/ https://www.ncbi.nlm.nih.gov/pubmed/35530893 http://dx.doi.org/10.7759/cureus.23907 |
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author | Adhikari, Pabitra Antala, Drashti Pyakuryal, Bimatshu Muhammed, Ahmed Pudasainee, Prasun Friedman, Harvey Ezepue, Chizoba J |
author_facet | Adhikari, Pabitra Antala, Drashti Pyakuryal, Bimatshu Muhammed, Ahmed Pudasainee, Prasun Friedman, Harvey Ezepue, Chizoba J |
author_sort | Adhikari, Pabitra |
collection | PubMed |
description | Ventriculitis is the inflammation of the ependymal lining of the ventricles in the brain which usually occurs as a complication of meningitis, intraventricular devices, intracranial surgery, or brain abscess. Common clinical features include fever, altered mental status, headache, and neck rigidity. Some commonly associated organisms are Streptococcus, gram-negative Bacillus, Staphylococcus, and Meningococcus. Here, we report the case of a 57-year-old female presenting with fever, headache, and altered mental status, along with positive physical examination findings of Kernig’s and Brudzinski’s signs without any focal neurological deficits. Cerebrospinal fluid analysis findings were consistent with bacterial infection with neutrophilic leukocytosis, high protein, and low glucose. The blood culture was positive for Streptococcus pneumoniae. Magnetic resonance imaging was negative for enhancement of the meninges but showed fluid-filled layering in the ventricles consistent with pyogenic ventriculitis. The patient improved clinically within three days of initiation of empiric antibiotics. |
format | Online Article Text |
id | pubmed-9077952 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-90779522022-05-07 Community-Acquired Meningitis Complicated by Pyogenic Ventriculitis: A Case Report Adhikari, Pabitra Antala, Drashti Pyakuryal, Bimatshu Muhammed, Ahmed Pudasainee, Prasun Friedman, Harvey Ezepue, Chizoba J Cureus Neurology Ventriculitis is the inflammation of the ependymal lining of the ventricles in the brain which usually occurs as a complication of meningitis, intraventricular devices, intracranial surgery, or brain abscess. Common clinical features include fever, altered mental status, headache, and neck rigidity. Some commonly associated organisms are Streptococcus, gram-negative Bacillus, Staphylococcus, and Meningococcus. Here, we report the case of a 57-year-old female presenting with fever, headache, and altered mental status, along with positive physical examination findings of Kernig’s and Brudzinski’s signs without any focal neurological deficits. Cerebrospinal fluid analysis findings were consistent with bacterial infection with neutrophilic leukocytosis, high protein, and low glucose. The blood culture was positive for Streptococcus pneumoniae. Magnetic resonance imaging was negative for enhancement of the meninges but showed fluid-filled layering in the ventricles consistent with pyogenic ventriculitis. The patient improved clinically within three days of initiation of empiric antibiotics. Cureus 2022-04-07 /pmc/articles/PMC9077952/ /pubmed/35530893 http://dx.doi.org/10.7759/cureus.23907 Text en Copyright © 2022, Adhikari et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Neurology Adhikari, Pabitra Antala, Drashti Pyakuryal, Bimatshu Muhammed, Ahmed Pudasainee, Prasun Friedman, Harvey Ezepue, Chizoba J Community-Acquired Meningitis Complicated by Pyogenic Ventriculitis: A Case Report |
title | Community-Acquired Meningitis Complicated by Pyogenic Ventriculitis: A Case Report |
title_full | Community-Acquired Meningitis Complicated by Pyogenic Ventriculitis: A Case Report |
title_fullStr | Community-Acquired Meningitis Complicated by Pyogenic Ventriculitis: A Case Report |
title_full_unstemmed | Community-Acquired Meningitis Complicated by Pyogenic Ventriculitis: A Case Report |
title_short | Community-Acquired Meningitis Complicated by Pyogenic Ventriculitis: A Case Report |
title_sort | community-acquired meningitis complicated by pyogenic ventriculitis: a case report |
topic | Neurology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9077952/ https://www.ncbi.nlm.nih.gov/pubmed/35530893 http://dx.doi.org/10.7759/cureus.23907 |
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