Ventriculitis and Post Operative Spinal Infection

M83, RH, previously healthy and independent, lives with wife, non smoker, no etoh, underwent elective lumbar laminectomy for lumbar canal stenosis expressed with neurogenic claudication, complicated by intraoperative dural tear and csf leak which was primarily repaired, re presented with persistent lumbar wound csf leak followed by pyrexia, confusion and double incontinence, rapidly deteriorated to GCS E2 V1 M3 and systemic sepsis