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J Neurocrit Care 2013;6(1): 21-24.
간농양과 연관된 Klebsiella Pneumoniae 뇌수막염 증례
고 원·김혜인·이승하·김원주
연세대학교 의과대학 강남세브란스병원 신경과학교실
A Case of Klebsiella Pneumoniae Meningitis Associated with Liver Abscess
Won Ko, MD, Hye Ihn Kim, MD, Seung Ha Lee, MD and Won-Joo Kim, MD, PhD
Department of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
Background: Bacterial meningitis is one of neurologic emergency. Klebsiella pneumoniae is considered to be the uncommon pathogen for bacterial meningitis. We report the patient with Klebsiella pneumoniae meningitis associated with liver abscess.
Case Report:A 65-year-old male was admitted due to fever, mental deterioration. In cerebrospinal fluid study, white blood cell was 12450/mm3, protein was 1028.5 mg/dL and glucose was uncheckable. We started treatment of antibiotics. Brain MRI showed diffuse high signal intensities along the sulcus in both hemispheres on fluid attenuated inversion recovery image. The culture of CSF yielded Klebsiella pneumoniae. Abdomen CT scan showed 3.5 cm lobulated low attenuated lesion in right hepatic lobe. Patient was received the drainage of liver abscess procedure. He recovered mental status after 7 days of treatment.
Conclusions: Klebsiella pneumoniae has been considered to be an rare cause of meningitis especially immune-suppressive state. And if Klebsiella pneumoniae meningitis is diagnosed, we should search combined infection of other organs.
Key Words: Klebsiella pneumoniae · Liver abscess · Meningitis
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