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Journal of Korean Neurosurgical Society ; : 397-400, 2009.
Article in English | WPRIM | ID: wpr-79589

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.


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