Brainstem Infarction Complicated by Pneumococcal Ventriculitis.
10.5853/kjs.2011.13.3.140
- Author:
Sang Jun LEE
1
;
Hyun Jung LEE
;
Sang Hyun JANG
Author Information
1. Department of Neurology, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea. mj@eulji.ac.kr
- Publication Type:Case Report
- Keywords:
Cerebral ventriculitis;
Bacterial meningitis;
Brainstem infarction
- MeSH:
Adult;
Aged, 80 and over;
Animals;
Anti-Bacterial Agents;
Blood Glucose;
Brain Stem;
Brain Stem Infarctions;
Cerebral Ventriculitis;
Diffusion;
Female;
Fever;
Glucose;
Horns;
Humans;
Lateral Ventricles;
Leukocyte Count;
Magnetic Resonance Spectroscopy;
Meningitis, Bacterial;
Streptococcus pneumoniae;
Suppuration
- From:Korean Journal of Stroke
2011;13(3):140-143
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report an adult case of pontine infarct complicated by a community-acquired pneumococcal ventriculitis. An 85-year-old woman was referred to the hospital with left-sided weakness and persistent fever despite antibiotics therapy. Diffusion weight magnetic resonance image revealed high signal intensity on the right paramedian pontine and the occipital horn of the lateral ventricle. In the cerebrospinal fluid (CSF) examination, white blood cell count was 2,720 /mm3, glucose level was 4 mg/dL (simultaneous blood glucose level was 135 mg/dL), and CSF protein level was 2,025.4 mg/dL. On admission day 4, CSF culture showed Streptococcus pneumoniae. Despite continuous antibiotics treatment, she expired on admission day 7. In patients with pneumococcal ventriculitis, despite high mortality as in this case, early detection and treatment improve clinical outcome. Also aggressive treatment (intraventricular antibiotics injection, and pus drainage) should be considered.
