Table 5 Comparison of clinical features and neuroimaging findings between bacterial brain abscesses with or without intraventricular rupture.
Subsequent IVRBA n = 17 | Without IVRBA n = 117 | p Value | OR | 95% CI | |
---|---|---|---|---|---|
Sex (male/female) | 13/4 | 91/26 | 1 | 1.08 | 0.32 to 3.58 |
Mean age (years) | 46.8 (15.1) | 43.8 (18.5) | 0.468 | ||
Mental state at the time of admission | |||||
Clear consciousness (GCS = 15) | 8 | 69 | 0.353 | 0.618 | 0.22 to 1.71 |
Disturbed consciousness (GCS<15) | 9 | 48 | |||
Mean (SD) duration between onset of symptoms and diagnosis of abscess | 10.4 (12.1) | 15.2 (22.7) | 0.518 | ||
Underlying diseases | |||||
Congenital heart disease | 0 | 15 | 0.216 | 0.87 | 0.81 to 0.93 |
Diabetes mellitus | 3 | 18 | 0.733 | 1.17 | 0.3 to 4.48 |
Alcoholism/liver cirrhosis | 2 | 15 | 1 | 0.91 | 0.18 to 4.37 |
Chronic otitis media | 1 | 15 | 0.692 | 0.43 | 0.05 to 3.44 |
Postneurosurgical state | 6 | 30 | 0.394 | 1.582 | 0.54 to 4.65 |
Clinical features | |||||
Fever | 12 | 65 | 0.241 | 1.92 | 0.64 to 5.8 |
Headache | 7 | 65 | 0.267 | 0.56 | 0.2 to 1.57 |
Hemiparesis | 8 | 54 | 0.944 | 1.04 | 0.37 to 2.87 |
Nausea/vomiting | 6 | 25 | 0.224 | 2.01 | 0.68 to 5.96 |
Neck stiffness | 2 | 31 | 0.24 | 0.37 | 0.08 to 1.71 |
Seizure | 2 | 20 | 0.738 | 0.65 | 0.14 to 3.05 |
Hydrocephalus | 4 | 13 | 0.232 | 2.46 | 0.7 to 8.68 |
Septic shock | 1 | 11 | 1 | 0.6 | 0.07 to 4.99 |
Visual disturbance | 1 | 20 | 0.472 | 0.3 | 0.04 to 2.42 |
Papilloedema | 0 | 7 | 0.595 | 0.42 | 0.02 to 7.7 |
Hemiparesthesia | 8 | 54 | 0.287 | 1.04 | 0.37 to 2.87 |
Associated with meningitis | 7 | 37 | 0.433 | 1.51 | 0.53 to 4.29 |
Portal of entry | |||||
Haematogenous spread | 6 | 34 | 0.6 | 1.332 | 0.46 to 3.89 |
Non‐haematogenous spread | 11 | 83 | |||
Acquisition of infection | |||||
Nosocomially acquired | 6 | 31 | 0.562 | 1.51 | 0.52 to 4.44 |
Community acquired | 11 | 86 | |||
Neuroimaging findings | |||||
Mean (SD) nearest distance between the ventricular wall and margin of brain abscess | 11.1 (10.1) | 19.1 (9.7) | 0.001 | ||
Mean (SD) size of the nearest brain abscess | 31.2 (14.6) | 34.5 (18.1) | 0.571 | ||
Multiloculation | 7 | 20 | 0.045 | 3.36 | 1.15 to 9.99 |
Mortality | 5 | 32 | 1 | 1.11 | 0.36 to 3.39 |
Median (range) GOS at 3‐month end point | 3 (1–5) | 2 (1–5) | 0.276 |
GCS, Glasgow Coma Score; GOS, Glasgow Outcome Score; IVRBA, intraventricular rupture of brain abscesses.