Bilateral Chronic Subdural Hematoma Contaminated with Klebsiella Pneumoniae : An Unusual Case.
10.3340/jkns.2009.45.6.397
- Author:
Bulent BAKAR
1
;
Cem SUNGUR
;
Ismail Hakki TEKKOK
Author Information
1. Department of Neurosurgery, Kirikale University Faculty of Medicine, Kirikale, Turkey. bulentbanrs@yahoo.com
- Publication Type:Case Report
- Keywords:
Bilateral chronic subdural hematoma;
Burr-hole drainage;
Contamination;
Klebsiella pneumonia;
Subdural empyema
- MeSH:
Central Nervous System Infections;
Craniotomy;
Drainage;
Empyema, Subdural;
Hematoma, Subdural, Chronic;
Humans;
Klebsiella;
Klebsiella pneumoniae;
Subdural Space;
Suppuration;
Thienamycins
- From:Journal of Korean Neurosurgical Society
2009;45(6):397-400
- CountryRepublic of Korea
- Language:English
-
Abstract:
This article presents the case of a bilateral chronic subdural hematoma which was contaminated with Klebsiella pneumoniae and resulted in a life-threatening central nervous system infection. After repeated of bilateral burr-hole drainage, the patient became hyperpyrexic and drowsy. Suppuration within the subdural space was suspected and then the patient underwent bilateral fronto-temporo-parietal craniotomies, and pus was evacuated. Its cultures revealed Klebsiella pneumoniae. Intravenous meropenem was given for 6 weeks. He recovered completely. Microorganisms like Klebsiella pneumoniae may directly infect the subdural space with iatrogenic contamination.
