Management of Ventricular Rupture Due to Brain Abscess: A Case Study and Review of Existing Literature

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