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J Neurocrit Care 2010;3(2): 49-51.
Metamphetamine 중독자에서 폐렴간균으로 인한 경추 경막외 농양
하윤석1·나주영1·김명국1·유봉구1·김대용2
고신대학교 의과대학 신경과학교실,1 신경외과학교실2
Cervical Epidural Abscess due to Klebsiella Pneumoniae in a Metamphetamine Addict
Yoon-Seok Ha, MD1, Ju-Young Na, MD1, Meyung-Kug Kim, MD1, Bong-Goo Yoo, MD1 and Dae-Yong Kim, MD2
1Departments of Neurology, 2Neurosurgery, Kosin University College of Medicine, Busan, Korea
ABSTRACT
Background: Spinal epidural abscess is a severe, generally pyogenic infection of the epidural space requiring emergent neurological intervention to avoid permanent neurological deficits. A drug abuse is an important risk factor for the development of spinal epidural abscess. Klebsiella pneumoniae is very rare pathogen for spinal epidural abscess.
Case Report: A 43-year-old man who is a methamphetamine abuse presented with fever, headache and altered mentality. Quadriplegia occurred despite of antibiotics therapy. C-spine MRI revealed a spinal epidural abscess from C5 to T1 space. Klebsiella pneumonia was isolated in culture of abscess.
Conclusions: We report a case of cervical epidural abscess due to Klebsiella pneumoniae in a methamphetamine addict. Although early diagnosis is warranted for spinal epidural abscess, it is still difficult when patients present atypical symptoms.
Key Words: Spinal epidural abscess · Methamphetamine · Klebsiella pneumoniae
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