Primary pyogenic ventriculitis caused by Streptococcal pneumoniae in adults

Jayendrakumar, Chavada I; Ganesan, Dinesh B; Thampi, Siddhant J; Natarajan, Vasanthi

doi:10.4103/jfmpc.jfmpc_688_19

Cited by 13 publications

(4 citation statements)

References 11 publications

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“…Ventriculitis secondary to Salmonella species is not reported in medical literature to the author's knowledge. Magnetic resonance imaging features of ventriculitis include ventricular debris, hydrocephalus, periventricular hyperintense signals, and ependymal enhancement [ 8 ], as evident in our case (Figure 2 ).…”

Section: Discussionmentioning

confidence: 60%

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Salmonella Meningitis Complicated by Ventriculitis and Brain Abscesses in an HIV Positive Adult Patient

Ahmed¹,

Taha²

2020

Cureus

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Salmonella meningitis is a rare complication of Salmonella sepsis and is mostly reported in infants and young children. The incidence of Salmonella bacteremia is increased in immunocompromised adult individuals, such as those having human immunodeficiency virus (HIV) infection. Ventriculitis and brain abscess as a complication of Salmonella intracranial infection is particularly rare, even in patients who are immunosuppressed. Herein, we report a case of Salmonella meningitis complicated by ventriculitis and two brain abscesses in an HIV positive adult patient requiring mini-craniectomy and drainage along with a prolonged course of antibiotic therapy with a favorable outcome.

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Section: Discussionmentioning

confidence: 60%

“…Mortality rates are high (approaching 40-60%), especially when Salmonella meningitis is associated with brain abscess, and permanent neurologic damage is reported in a significant number of survivors. Prognosis is most favorable when the patients receive prompt antimicrobial therapy and surgical treatment [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Salmonella Meningitis Complicated by Ventriculitis and Brain Abscesses in an HIV Positive Adult Patient

Ahmed¹,

Taha²

2020

Cureus

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“…6 Primary community-acquired pyogenic ventriculitis is rare, with only a few cases described in the literature. [7][8][9] Our case report is novel and unique in that patient had ESBL E. coli culture positivity and progressed to develop ventriculitis and had no other risk factors…”

Section: Discussionmentioning

confidence: 85%

A Rare Case of Primary Ventriculitis Secondary to Community-acquired Extended-spectrum β-lactamase Escherichia coli Meningitis

Padyana,

Krishnamurthy,

Narendra

et al. 2023

Journal of Acute Care

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CASE REPORTextended-spectrum β-lactamase (ESBL) E. coli causing the same has not been described previously. Hereby, we describe a successfully treated case of community-acquired meningitis due to E. coli complicated by primary ventriculitis. Case DesCriptionA 67-year-old elderly female patient with a background of diabetes mellitus and hypothyroidism, suffering from fever and headache for the past 5 days, presented to the emergency department with a history suggestive of generalized tonic-clonic seizures. She was drowsy, agitated, and moving all four limbs with the Glasgow Coma Scale (GCS) of E2V2M4 in a postictal state. The patient was mechanically ventilated in view of poor GCS. Blood sugar was introDuCtion Bacterial meningitis is a medical and neurological emergency requiring early recognition of symptoms, rapid diagnostic evaluation, and appropriate antimicrobial therapy. Common etiology of meningitis in immunocompetent adults are Streptococcus pneumoniae and Neisseria meningitidis attributing to 80% of the cases, followed by Haemophilus influenzae, Streptococcus agalactiae, and Listeria monocytogenes. In adults, gram-negative bacterial (GNB) meningitis is a relatively uncommon etiology of community-acquired meningitis. Gram-negative meningitis occurs after neurosurgical procedures in up to 50% of the cases. Neurosurgical intervention and device implantation, traumatic brain injury within the past 1 month, and cerebrospinal fluid (CSF) leak represent the main portals of entry in up to 75% of the nosocomial cases. 1 Spontaneous community-acquired GNB meningitis represents 8.7% of all spontaneous communityacquired meningitis, with an annual incidence of two cases per 100,000 adults. Escherichia coli (E. coli) represents 41.9% of these cases. E. coli, a rare cause of community-acquired adult meningitis, is a common pathogen among neonates. Community-acquired GNB meningitis occurs almost exclusively in cases with preexisting risk factors, typically secondary to a distant or contiguous foci, such as urinary tract infection, retropharyngeal space infection, otitis media, gastrointestinal focus, etc. 2,3 Mortality of such E. coli meningitis are much higher than other patients with bacterial meningitis. 3,4 Ventriculitis is an uncommon infection affecting the ependymal lining of the ventricles of the brain, also called pyocephalus or ependymitis, or intraventricular empyema. Commonly ventriculitis develops secondary to neurosurgical procedures, Intraventricular devices, or ruptured complicated brain abscesses. Primary ventriculitis is a very rare phenomenon, and

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“…Ventriculitis is a rare condition secondary to meningitis 18 that can cause persistent infection and treatment failure. 19,20 Additionally, if meningitis is associated with ventriculitis, prolonged antibiotic treatment might be required. Only one case of S. suis meningitis associated with ventriculitis has been reported so far; the patient required longer antibiotic treatment than the usual 24-day course for bacterial meningitis.…”

Section: Discussionmentioning

confidence: 99%

Kushiyaki‐related Streptococcus suis meningitis with ventriculitis: A case report

Kurihara¹,

Nasu²,

Itokazu³

et al. 2021

Clinical Case Reports

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Primary pyogenic ventriculitis caused by Streptococcal pneumoniae in adults

Cited by 13 publications

References 11 publications

Salmonella Meningitis Complicated by Ventriculitis and Brain Abscesses in an HIV Positive Adult Patient

Salmonella Meningitis Complicated by Ventriculitis and Brain Abscesses in an HIV Positive Adult Patient

A Rare Case of Primary Ventriculitis Secondary to Community-acquired Extended-spectrum β-lactamase Escherichia coli Meningitis

Kushiyaki‐related Streptococcus suis meningitis with ventriculitis: A case report

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