{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T09:56:15Z","timestamp":1762077375219,"version":"build-2065373602"},"reference-count":12,"publisher":"SMC Media","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: Meningitis-related acute hydrocephalus is rare, challenging to diagnose, and has a high mortality rate.\u00a0 Case description: Here we describe the case of a 76-year-old patient diagnosed with bacterial meningitis who developed acute hydrocephalus and subsequently died.\u00a0 Discussion: Although meningitis-related acute hydrocephalus is usually non-occlusive, occlusive hydrocephalus may also occur. Moreover, worsening hydrocephalus despite cerebrospinal fluid drainage should prompt a diagnosis of obstructive hydrocephalus. In such conditions, potential management strategies include ventriculoperitoneal shunt and endoscopic third ventriculostomy. Conclusion: In patients with meningitis-related hydrocephalus, worsening despite appropriate antibiotic administration, treatment may be complicated by ventriculitis and obstructive hydrocephalus, which can be fatal. If intracranial pressure is not medically controlled, bilateral decompression craniectomy should be considered as a potential management strategy.<\/jats:p>","DOI":"10.12890\/2022_003653","type":"journal-article","created":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T03:36:35Z","timestamp":1669865795000},"source":"Crossref","is-referenced-by-count":2,"title":["Acute Hydrocephalus Associated with Streptococcus anginosus Meningitis"],"prefix":"10.12890","volume":"9","author":[{"given":"Masako","family":"Sakurai","sequence":"first","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Tokyo Medical University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Watari","sequence":"first","affiliation":[{"name":"General Medicine Center, Shimane University, Shimane, Japan; Division of Hospital Medicine, University of Michigan Health System, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Itaru","family":"Nakamura","sequence":"first","affiliation":[{"name":"Department of Infection Prevention and Control, Tokyo Medical University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazunari","family":"Azuma\u00a0","sequence":"first","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Tokyo Medical University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Homma","sequence":"first","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Tokyo Medical University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10397","published-online":{"date-parts":[[2022,11,22]]},"reference":[{"key":"10.12890\/2022_003653_ref1","doi-asserted-by":"crossref","unstructured":"<li>Bodilsen J, Sch\u00f8nheyder HC, Nielsen H. 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Acute obstructive hydrocephalus complicating bacterial meningitis. <em>BMJ<\/em> 1999;<strong>318<\/strong>:123. https:\/\/doi.org\/10.1136\/bmj.318.7176.123b<\/li>","DOI":"10.1136\/bmj.318.7176.123b"},{"key":"10.12890\/2022_003653_ref8","doi-asserted-by":"crossref","unstructured":"<li>Fazili T, Riddell S, Kiska D, Endy T, Giurgea L, Sharngoe C, et al. Streptococcus anginosus group bacterial infections. <em>Am J Med Sci<\/em> 2017;<strong>354<\/strong>:257\u2013261. https:\/\/doi.org\/10.1016\/j.amjms.2017.05.011<\/li>","DOI":"10.1016\/j.amjms.2017.05.011"},{"key":"10.12890\/2022_003653_ref9","doi-asserted-by":"crossref","unstructured":"<li>Suzuki H, Hase R, Otsuka Y, Hosokawa N. Bloodstream infections caused by Streptococcus anginosus group bacteria: a retrospective analysis of 78 cases at a Japanese tertiary hospital. <em>J Infect Chemother<\/em> 2016;<strong>22<\/strong>:456\u2013460. https:\/\/doi.org\/10.1016\/j.jiac.2016.03.017<\/li>","DOI":"10.1016\/j.jiac.2016.03.017"},{"key":"10.12890\/2022_003653_ref10","doi-asserted-by":"crossref","unstructured":"<li>Lee SB, Jones LK, Giannini C. Brainstem infarcts as an early manifestation of Streptococcus anginosus meningitis. <em>Neurocrit Care<\/em> 2005;<strong>3<\/strong>:157\u2013160. https:\/\/doi.org\/10.1385\/ncc:3:2:157<\/li>","DOI":"10.1385\/NCC:3:2:157"},{"key":"10.12890\/2022_003653_ref11","doi-asserted-by":"crossref","unstructured":"<li>Baussart B, Cheisson G, Compain M, Leblanc PE, Tadie M, Benhamou D, et al. Multimodal cerebral monitoring and decompressive surgery for the treatment of severe bacterial meningitis with increased intracranial pressure. <em>Acta Anaesthesiol Scand <\/em>2006;<strong>50<\/strong>:762\u2013765. https:\/\/doi.org\/10.1111\/j.1399-6576.2006.01038.x<\/li>","DOI":"10.1111\/j.1399-6576.2006.01038.x"},{"key":"10.12890\/2022_003653_ref12","doi-asserted-by":"crossref","unstructured":"<li>Perin A, Nascimben E, Longatti P. Decompressive craniectomy in a case of intractable intracranial hypertension due to pneumococcal meningitis. <em>Acta Neurochir (Wien)<\/em> 2008;<strong>150<\/strong>:837\u2013842. https:\/\/doi.org\/10.1007\/s00701-008-1596-8<\/li>","DOI":"10.1007\/s00701-008-1596-8"}],"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3653\/3300","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3653\/3301","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3653\/3301","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T13:49:00Z","timestamp":1755784140000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/3653"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,22]]},"references-count":12,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.12890\/2022_003653","relation":{"has-manifestation":[{"id-type":"other","id":"1-92-3653-g3300","asserted-by":"subject"},{"id-type":"other","id":"1-92-3653-g3301","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-92","asserted-by":"subject"}]},"ISSN":["2284-2594"],"issn-type":[{"type":"electronic","value":"2284-2594"}],"subject":[],"published":{"date-parts":[[2022,11,22]]}}}