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.