Evidence map›Paper›PMID 39991394›Full record

ArticleCureus2025

Rapidly Progressive Pyogenic Ventriculitis Associated With Bacterial Meningitis Caused by Streptococcus intermedius.

Taiki Matsubayashi, Yukika Arai, Masato Obayashi

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Taiki MatsubayashiDepartment of Neurology, National Hospital Organization Disaster Medical Center, Tokyo, JPN.
Yukika AraiDepartment of Neurosurgery, National Hospital Organization Disaster Medical Center, Tokyo, JPN.
Masato ObayashiDepartment of Neurology, National Hospital Organization Disaster Medical Center, Tokyo, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ventriculitis commonly arises as a complication of various central nervous system conditions. The causes of ventriculitis include both iatrogenic conditions, such as catheter-related infections, and non-iatrogenic conditions, such as community-acquired bacterial meningitis. The incidence of pyogenic ventriculitis associated with community-acquired bacterial meningitis remains unclear. Additionally, the optimal treatment strategy for pyogenic ventriculitis secondary to community-acquired bacterial meningitis remains uncertain. A 47-year-old man presented with headache, fever, and impaired consciousness. At admission, cerebrospinal fluid analysis five days after the onset (day one) revealed elevated white blood cell count with neutrophilic predominance, increased protein levels, and significantly reduced glucose. Initial brain computed tomography (CT) showed bilateral lateral ventricular enlargement with subtle fluid accumulation in the right lateral ventricle. Despite the initiation of empirical antimicrobial therapy, follow-up CT two days later demonstrated a rapid progression of fluid accumulation in the bilateral lateral ventricles. Diffusion-weighted magnetic resonance imaging (MRI) confirmed high signal intensity within the ventricles, consistent with intraventricular pus. Emergency external ventricular drainage (EVD) was promptly performed, and cultures from the intraventricular pus identified

Indexed as

bacterial meningitisexternal ventricular drainagehydrocephalusmagnetic resonance imagingpyogenic ventriculitisstreptococcus intermedius

Identifiers

PMID39991394
PMCPMC11845238

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.