J Korean Neurosurg Soc.  2009 Jun;45(6):397-400. 10.3340/jkns.2009.45.6.397.

Bilateral Chronic Subdural Hematoma Contaminated with Klebsiella Pneumoniae : An Unusual Case

Affiliations
  • 1Department of Neurosurgery, Kirikale University Faculty of Medicine, Kirikale, Turkey. bulentbanrs@yahoo.com
  • 2Department of Internal Medicine, MESA Hospital, Ankara, Trukey.
  • 3Department of Neurosurgery, MESA Hospital, Ankara, Trukey.

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.

Keyword

Bilateral chronic subdural hematoma; Burr-hole drainage; Contamination; Klebsiella pneumonia; Subdural empyema
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