Intraventricular Bleed Secondary to Intraventricular Antibiotics: A Case Report

Abstract

In case of multidrug resistant CNS infection use of intraventricular antibiotics are considered which have their own undesirable effects1 An adult male patient who presented with multidrug resistant infection secondary to procedures done to facilitate to drain cerebrospinal fluid. Secondary to intraventricular antibiotic administration patient developed an intraparenchymal bleed with intraventricular extension; as a result of the bleed there was persistently raised intracranial pressure (ICP). The harmful effects of intraventricular antibiotics have to always be considered before taking a decision to start it. Appropriate precaution and low threshold of suspicion is required to rule out complications.How to cite this articleSultana N, Reddy KS, Alam MI. Intraventricular Bleed Secondary to Intraventricular Antibiotics: A Case Report. Indian J Crit Care Med 2019;23(10):484–485.

Intrathecal Antibacterial and Antifungal Therapies

“…No irreversible toxicity was noted (96). Recently, however, an event of intracranial hemorrhage in a hypertensive patient was considered to be related to the intraventricular administration of colistin (97).…”