Primary bacterial ventriculitis in adults, an emergent diagnosis challenge: report of a meningoccal case and review of the literature

BMC Infectious Diseases
Anaïs LesourdFrançois Caron

Abstract

Defined by an infection of the ventricular system of the brain, ventriculitis is usually known as a health-care associated infection. In contrast, primary pyogenic ventriculitis complicating community-acquired meningitis is uncommon, and mainly described in infants. Only seven cases that have occured in adults have been found in the international literature. We report here a new case due to Neisseria meningitidis occurring in an 85 year-old-man. The comparison with previous reports allows to drawn several conclusions: (i) cases occurred in relatively old adults (median age: 65 years); (ii) Streptococcus pneumoniae, N. meningitiditis and Staphylococcus aureus are the leading responsible pathogens; (iii) atypical clinical presentation seems the rule in which meningism often lacks; (iv) in absence of clinical or biological specific parameters, modern brain imaging such as magnetic resonance imaging with gadolinium enhancement is of utmost importance for the diagnosis, leading to anticipate an increase of the diagnosis in the near future, thanks to easier access to such exploration; (v) death or serious sequelae commonly occurred; (vi) prolonged antibiotic courses (6 weeks to 3 months) have been used, without strong rational. In th...Continue Reading

References

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Citations

Feb 28, 2020·The Journal of Critical Care Medicine·Barbara RibeiroSima Jalili
Dec 6, 2019·Journal of Family Medicine and Primary Care·Chavada I JayendrakumarVasanthi Natarajan
Dec 29, 2020·Revista española de anestesiología y reanimación·B Ruiz TorresD Gil Pérez
Jun 25, 2021·Journal of Neurology·Keun-Tae KimJi-Soo Kim
Jun 17, 2021·Revista Española De Anestesiología Y Reanimación·B Ruiz TorresD Gil Pérez

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