Pathomorphology and pathogenesis of bacterial meningoventriculitis of neonatal ungulates

Bacterial meningoventriculitis was studied in 26 neonatal ungulates. Preceded by a substantial bacteremia, usually due to Escherichia coli, the fibrinopurulent inflammation involved leptomeninges, choroid plexuses, and ventricle walls, but largely spared the neuraxial parenchyma. It is proposed that this surface-relatedness results from the transport of bacteria by monocytes of low bactericidal power, migrating by normal pathways to maintain significant surface populations of macrophages. The neuraxial parenchyma is spared because of its normal lack of a macrophage population. A similar pathogenesis would hold for the frequent concurrent appearance of serositis and synovitis.