case_images: PMC6154823_01
case_images: Gram-negative filamentous rods
case_images: 40560_2018_332_Fig1_HTML.jpg
case_images: PMC6154823_01_40560_2018_332_Fig1_HTML.jpg
case_images: Fig1
case_images: Antibiotics (ceftriaxone, amoxycillin) were continued, and acyclovir was stopped as there were filamentous gram-negative rods in gram staining of the CSF, which was a rare morphology to be identified (Fig. 1).
case_images: Non-hemolytic colonies on blood agar
case_images: 40560_2018_332_Fig2_HTML.jpg
case_images: PMC6154823_01_40560_2018_332_Fig2_HTML.jpg
case_images: Fig2
case_images: Non-hemolytic colonies were formed on blood agar (Fig. 2) which were lactose-fermenting colonies on MacConkey agar (Fig. 3).
case_images: Post-gadolinium T1 image showing subtle ventricular ependymal enhancement (arrow) in occipital horns
case_images: 40560_2018_332_Fig4_HTML.jpg
case_images: PMC6154823_01_40560_2018_332_Fig4_HTML.jpg
case_images: Fig4
case_images: There was post-contrast enhancement of leptomeninges and subtle enhancement of ventricular wall and posterior fossa cisternal spaces in post-contrast T1 sequence, and the same findings along with exudates in the ventricles in T2 fluid attenuated inversion recovery (FLAIR) images, which were suggestive of ventriculitis (Figs. 4 and 5).
case_images: Post-gadolinium T2 FLAIR showing subtle ventricular ependymal enhancement and exudates (arrow) in occipital horns
case_images: 40560_2018_332_Fig5_HTML.jpg
case_images: PMC6154823_01_40560_2018_332_Fig5_HTML.jpg
case_images: Fig5
case_images: There was post-contrast enhancement of leptomeninges and subtle enhancement of ventricular wall and posterior fossa cisternal spaces in post-contrast T1 sequence, and the same findings along with exudates in the ventricles in T2 fluid attenuated inversion recovery (FLAIR) images, which were suggestive of ventriculitis (Figs. 4 and 5).
case_images: CT cisternography showing no contrast leak into paranasal sinuses
case_images: 40560_2018_332_Fig6_HTML.jpg
case_images: PMC6154823_01_40560_2018_332_Fig6_HTML.jpg
case_images: Fig6
case_images: There was no CSF leak into the paranasal sinuses or nasal cavity (Fig. 6).