Gas-Forming Brain Abscess Caused by Klebsiella Pneumoniae.
10.3340/jkns.2008.44.6.382
- Author:
Keun Tae CHO
1
;
Bong Jin PARK
Author Information
1. Department of Neurosurgery, Dongguk University Ilsan Hospital Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Brain abscess;
Klebsiella pneumoniae;
Air
- MeSH:
Administration, Intravenous;
Anti-Bacterial Agents;
Brain;
Brain Abscess;
Diabetes Mellitus;
Drainage;
Edema;
Headache;
Humans;
Klebsiella;
Klebsiella pneumoniae;
Lateral Ventricles;
Liver Cirrhosis;
Middle Aged;
Occipital Lobe;
Rare Diseases;
Sepsis
- From:Journal of Korean Neurosurgical Society
2008;44(6):382-384
- CountryRepublic of Korea
- Language:English
-
Abstract:
Gas forming brain abscess is a rare disease caused by Klebsiella pneumoniae occurring in patients with impaired host defense mechanism such as diabetes mellitus or liver cirrhosis. A 59-year-old man with 2-year history of diabetes mellitus and 20-year history of liver cirrhosis presented to the hospital with headache. On the day after admission, severe headache was developed and he deteriorated rapidly. Brain CT showed a non-enhanced mass including multiple air density as well as surrounding edema seen in the right occipital lobe, and isodensity air-fluid level seen in the right lateral ventricle. Despite emergent ventricular drainage and intraventricular and intravenous administration of antibiotics, his condition progressively worsened to sepsis and to death after 5 days. Bacterial culture of blood and ventricular fluids disclosed a Gram (-) rod, Klebsiella pneumoniae. In this report we review the pathogenic mechanism and its management.
