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Adult Primary Ventriculitis as a complication of acute otitis media: A comprehensive review of reported cases

Miriam Fahmy Orcid Logo, Suresh Gopala Pillai Orcid Logo

Otolaryngology Case Reports, Volume: 21, Start page: 100365

Swansea University Author: Suresh Gopala Pillai Orcid Logo

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DOI (Published version): 10.1016/j.xocr.2021.100365

Abstract

IntroductionAcute primary bacterial ventriculitis in adults is a rare intracranial disease. It can be a complication of neurosurgical patients with ventricular stent insertions or in children.ObjectiveThis paper presents a case of acute otitis media in a 71-year-old diabetic male that progressed rap...

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Published in: Otolaryngology Case Reports
ISSN: 2468-5488
Published: Elsevier BV 2021
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URI: https://cronfa.swan.ac.uk/Record/cronfa70782
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last_indexed 2025-11-14T06:47:43Z
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spelling 2025-11-12T16:15:57.6016105 v2 70782 2025-10-28 Adult Primary Ventriculitis as a complication of acute otitis media: A comprehensive review of reported cases f567f8d5db61d62ef08e811676fd8430 0000-0002-9753-6949 Suresh Gopala Pillai Suresh Gopala Pillai true false 2025-10-28 MEDS IntroductionAcute primary bacterial ventriculitis in adults is a rare intracranial disease. It can be a complication of neurosurgical patients with ventricular stent insertions or in children.ObjectiveThis paper presents a case of acute otitis media in a 71-year-old diabetic male that progressed rapidly to acute ventriculitis, with a literature review of presentation, work up, management and patient outcomes.MethodsA search using MEDLINE and EMBASE was carried out including “primary ventriculitis”, “bacterial ventriculitis” or “pyogenic ventriculitis” in the adult population. The cases were summarised.ResultsA total of 13 case reports were analysed. There was only one other case of pyogenic ventriculitis presenting with of sudden onset hearing loss, which turned out to be a complication of ventriculitis. Common presenting symptoms included agitation, depressed consciousness but no case reported any signs of meningism. This is the only known case of ventriculitis following acute otitis media.ConclusionVentriculitis can result as a complication of otological disease; it can manifest as rapid neurological deterioration and is difficult to diagnose. A high index of suspicion should be held for ventriculitis in cases with rapid progression or severity. Optimal work up includes serial MRI and lumbar puncture, for prolonged, targeted antimicrobial therapy. Journal Article Otolaryngology Case Reports 21 100365 Elsevier BV 2468-5488 Otitis media; Ventriculitis; Imaging and management summary 1 11 2021 2021-11-01 10.1016/j.xocr.2021.100365 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University 2025-11-12T16:15:57.6016105 2025-10-28T09:40:26.1268109 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Biomedical Science Miriam Fahmy 0000-0003-1882-6380 1 Suresh Gopala Pillai 0000-0002-9753-6949 2 70782__35612__3053ca9cf50744008d1d837faecdca53.pdf 70782.VoR.pdf 2025-11-12T16:14:38.5652719 Output 1092399 application/pdf Version of Record true © 2021 Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license. true eng http://creativecommons.org/licenses/by-nc-nd/4.0/
title Adult Primary Ventriculitis as a complication of acute otitis media: A comprehensive review of reported cases
spellingShingle Adult Primary Ventriculitis as a complication of acute otitis media: A comprehensive review of reported cases
Suresh Gopala Pillai
title_short Adult Primary Ventriculitis as a complication of acute otitis media: A comprehensive review of reported cases
title_full Adult Primary Ventriculitis as a complication of acute otitis media: A comprehensive review of reported cases
title_fullStr Adult Primary Ventriculitis as a complication of acute otitis media: A comprehensive review of reported cases
title_full_unstemmed Adult Primary Ventriculitis as a complication of acute otitis media: A comprehensive review of reported cases
title_sort Adult Primary Ventriculitis as a complication of acute otitis media: A comprehensive review of reported cases
author_id_str_mv f567f8d5db61d62ef08e811676fd8430
author_id_fullname_str_mv f567f8d5db61d62ef08e811676fd8430_***_Suresh Gopala Pillai
author Suresh Gopala Pillai
author2 Miriam Fahmy
Suresh Gopala Pillai
format Journal article
container_title Otolaryngology Case Reports
container_volume 21
container_start_page 100365
publishDate 2021
institution Swansea University
issn 2468-5488
doi_str_mv 10.1016/j.xocr.2021.100365
publisher Elsevier BV
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Biomedical Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Biomedical Science
document_store_str 1
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description IntroductionAcute primary bacterial ventriculitis in adults is a rare intracranial disease. It can be a complication of neurosurgical patients with ventricular stent insertions or in children.ObjectiveThis paper presents a case of acute otitis media in a 71-year-old diabetic male that progressed rapidly to acute ventriculitis, with a literature review of presentation, work up, management and patient outcomes.MethodsA search using MEDLINE and EMBASE was carried out including “primary ventriculitis”, “bacterial ventriculitis” or “pyogenic ventriculitis” in the adult population. The cases were summarised.ResultsA total of 13 case reports were analysed. There was only one other case of pyogenic ventriculitis presenting with of sudden onset hearing loss, which turned out to be a complication of ventriculitis. Common presenting symptoms included agitation, depressed consciousness but no case reported any signs of meningism. This is the only known case of ventriculitis following acute otitis media.ConclusionVentriculitis can result as a complication of otological disease; it can manifest as rapid neurological deterioration and is difficult to diagnose. A high index of suspicion should be held for ventriculitis in cases with rapid progression or severity. Optimal work up includes serial MRI and lumbar puncture, for prolonged, targeted antimicrobial therapy.
published_date 2021-11-01T05:25:49Z
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score 11.089905

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