Pyogenic Ventriculitis Associated with Urosepsis: A Rare Case Report | Zendy

Joana Correia Lopes | Zendy; Andreia Sofia Basílio | Zendy; Mário Amaro | Zendy

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Pyogenic Ventriculitis Associated with Urosepsis: A Rare Case Report

Author(s) -

Joana Correia Lopes,

Andreia Sofia Basílio,

Mário Amaro

Publication year - 2020

Publication title -

european journal of case reports in internal medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.125

H-Index - 1

ISSN - 2284-2594

DOI - 10.12890/2020_002178

Subject(s) - ventriculitis , medicine , neurosurgery , presentation (obstetrics) , external ventricular drain , surgery , hydrocephalus , brain abscess , abscess

Pyogenic ventriculitis is an infection of the cerebral ventricles usually associated with neurosurgery or head trauma. There are less than 10 reported cases of community-acquired pyogenic ventriculitis in adults. We present the case of a 71-year-old man with a medical history of type 2 diabetes mellitus, hospitalized due to urosepsis caused by E. coli. Because he had a fluctuant level of consciousness, he underwent magnetic resonance imaging that diagnosed pyogenic ventriculitis. He was treated with ceftriaxone 2 g 12/12h for a total of 6 weeks and recovered without neurological deficits. Pyogenic ventriculitis is a clinical challenge due to its rarity, atypical presentation and variety of aetiological microorganisms.

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