title: Spontaneous haemophilus influenzae type B meningoventriculitis with intraventricular debris.
abstract: Here we report the first case of spontaneous occurrence of Haemophilus influenzae type B meningoventriculitis. A 47-year-old man suffered from fever and headache. He had neck stiffness, and his cerebrospinal fluid (CSF) was turbid and yellowish. Gram staining and latex agglutination test of his CSF indicated that Haemophilus influenzae type B was the causative organism. Cranial CT and MRI revealed right ventricular debris accumulation, periventricular hyperintense signal, and periventricular ependymal enhancement. He was treated with intravenous administration of antibiotics, and his clinical condition and MRI findings gradually improved. Six weeks after onset, he was discharged without sequelae.
authors.affiliation: Department of Neurology, Tottori Prefectural Central Hospital, Tottori.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Nakayasu
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Sawada
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Doi
authors.forename: Miwa
authors.initials: M
authors.lastname: Hayashi
authors.forename: Takenobu
authors.initials: T
authors.lastname: Murakami
authors.forename: Kenji
authors.initials: K
authors.lastname: Nakashima
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D000942:Antigens, Bacterial / Q000276:immunology; D002439:Cefotaxime / Q000008:administration & dosage / Q000627:therapeutic use; D002555:Cerebrospinal Fluid / Q000166:cytology; D004359:Drug Therapy, Combination; D005500:Follow-Up Studies; D019741:Haemophilus influenzae type b / Q000276:immunology*; D006801:Humans; D007275:Injections, Intravenous; D020547:Lateral Ventricles / Q000000981:diagnostic imaging / Q000473:pathology*; D007841:Latex Fixation Tests; D008279:Magnetic Resonance Imaging; D008297:Male; D008583:Meningitis, Haemophilus / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D008875:Middle Aged; D014031:Tobramycin / Q000008:administration & dosage / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents; D000942:Antigens, Bacterial; D002439:Cefotaxime; D014031:Tobramycin