Brainstem Infarction Complicated by Pneumococcal Ventriculitis / 대한뇌졸중학회지
Korean Journal of Stroke
;
: 140-143, 2011.
Article
in Korean
| WPRIM
| ID: wpr-24632
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Streptococcus pneumoniae
/
Suppuration
/
Blood Glucose
/
Brain Stem
/
Magnetic Resonance Spectroscopy
/
Meningitis, Bacterial
/
Lateral Ventricles
/
Brain Stem Infarctions
/
Diffusion
/
Cerebral Ventriculitis
Type of study:
Screening study
Limits:
Aged80
/
Animals
/
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Stroke
Year:
2011
Type:
Article
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