European Journal of Case Reports in Internal Medicine (Dec 2020)

Pyogenic Ventriculitis Associated with Urosepsis: A Rare Case Report

  • Joana Correia Lopes,
  • Andreia Sofia Basílio,
  • Mário Amaro

DOI
https://doi.org/10.12890/2020_002178

Abstract

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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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