Brain abscess with pyogenic ventriculitis

Nina Feinberg; Brendan Campbell; Michael Bazylewicz; William D Brown; Devika Singh; Timothy Whitman; W Kemper Alston; Adam Ulano; Benjamin Sawatzky; Andrew J Hale

doi:10.1016/j.idcr.2022.e01503

Brain abscess with pyogenic ventriculitis

IDCases. 2022 Apr 12:28:e01503. doi: 10.1016/j.idcr.2022.e01503. eCollection 2022.

Affiliations

¹ College of Medicine at the University of Vermont, Burlington, VT, USA.
² University of Vermont Medical Center, Burlington, VT, USA.
³ University of Vermont Medical Center and College of Medicine at the University of Vermont, Burlington, VT, USA.

Abstract

The authors present the case of a 57-year-old male with a large polymicrobial brain abscess complicated by eruption into the intraventricular space. He was treated with parenteral ampicillin, cefepime, and metronidazole and adjuvant intraventricular vancomycin/gentamicin as well as surgical debridement. The authors discuss the diagnosis, treatment, and prognosis of brain abscesses, with a focus on prior cases with pyogenic ventriculitis and those treated with intraventricular antimicrobials.

Keywords: Brain abscess; Central nervous system infection; Intraventricular antibiotics; Meningitis; Ventriculitis.

Publication types

Case Reports