Treatment of brain abscess rupturing into ventricle: a case report and literature review - Takeaways - MDSpire

Treatment of brain abscess rupturing into ventricle: a case report and literature review

  • By

  • Xiaolin Zhang

  • Xia Yang

  • Junan Hu

  • Wenjing Zhang

  • Wei Shen

  • June 5, 2026

  • 0 min

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  • 1

    Brain abscess rupture into ventricles can lead to ventriculitis, with an incidence of 0.3%–35.0% and a mortality rate of 84.0%–100.0%.

  • 2

    A 50-year-old male patient with a history of traumatic brain injury developed a brain abscess that ruptured into the ventricle, causing ventriculitis.

  • 3

    Metagenomic next-generation sequencing identified Parvimonas micra and Fusobacterium as the pathogens in the patient's brain abscess.

  • 4

    The treatment included bilateral external ventricular drainage, ventricular lavage, and an adjusted anti-infective regimen based on clinical guidelines.

  • 5

    The patient recovered and was discharged after comprehensive treatment, highlighting the importance of timely intervention and pathogen identification.

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