Pyogenic Ventriculitis Associated with Urosepsis: A Rare Case Report

Area of Science:

• Neurology
• Infectious Diseases
• Radiology

Background:

• Pyogenic ventriculitis, an infection of cerebral ventricles, is typically linked to neurosurgery or head trauma.
• Community-acquired pyogenic ventriculitis in adults is exceptionally rare, with fewer than 10 cases reported.
• The patient presented with urosepsis and a fluctuating level of consciousness.

Purpose of the Study:

• To report a rare case of community-acquired pyogenic ventriculitis in an adult.
• To illustrate the diagnostic utility of MRI in such cases.
• To highlight effective treatment strategies for pyogenic ventriculitis.

Main Methods:

• A 71-year-old male patient with type 2 diabetes mellitus and urosepsis was evaluated.
• Magnetic Resonance Imaging (MRI) was performed due to altered consciousness.
• Treatment involved a 6-week course of ceftriaxone.

Main Results:

• MRI diagnosed pyogenic ventriculitis.
• The patient received prolonged antibiotic treatment with ceftriaxone.
• Recovery was achieved without any neurological deficits.

Conclusions:

• Community-acquired pyogenic ventriculitis is a rare clinical entity with atypical presentations, often lacking meningism.
• Magnetic Resonance Imaging (MRI) is crucial for accurate diagnosis.
• Extended antibiotic therapy is recommended for successful treatment outcomes.