Related Experiment Video
Updated: Nov 17, 2025
08:53
Recurrent Escherichia coli Urinary Tract Infection Triggered by Gardnerella vaginalis Bladder Exposure in Mice
Published on: December 4, 2020
6.5K
Pyogenic Ventriculitis Associated with Urosepsis: A Rare Case Report
Joana Correia Lopes1, Andreia Sofia Basílio2, Mário Amaro1
1Internal Medicine Department, Hospital Garcia de Orta EPE, Almada, Portugal.
European Journal of Case Reports in Internal Medicine
|February 15, 2021
Summary
Community-acquired pyogenic ventriculitis is rare in adults. This case highlights a successful treatment of a 71-year-old man with E. coli-induced pyogenic ventriculitis, emphasizing MRI for diagnosis and prolonged antibiotics for recovery.
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.
Related Concept Videos
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
129
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
129
01:27Acute Pyelonephritis I: Introduction
208
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
208
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
115
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
115
01:25Urinary Tract Infection II: Pathophysiology
286
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
286
01:17Urinary Tract Infection IV: Nursing Management
205
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
205
01:26Urinary Tract Infection I: Introduction
269
Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
269