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

• Bakar B
• Sungur C
• Tekkok IH

• KMID: 2138435
• DOI: http://doi.org/10.3340/jkns.2009.45.6.397

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

MeSH Terms

Central Nervous System Infections
Craniotomy
Drainage
Empyema, Subdural
Hematoma, Subdural, Chronic
Humans
Klebsiella
Klebsiella pneumoniae
Subdural Space
Suppuration
Thienamycins
Thienamycins