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Bilateral chronic subdural hematoma contaminated with Klebsiella pneumoniae : an unusual case

Bulent Bakar1, Cem Sungur, Ismail Hakki Tekkok

  • 1Department of Neurosurgery, Kirikale University Faculty of Medicine, Kirikale, Turkey.

Journal of Korean Neurosurgical Society
|July 18, 2009
PubMed

Insights

A rare case of chronic subdural hematoma infected with Klebsiella pneumoniae led to severe central nervous system infection. Prompt surgical intervention and antibiotics led to complete recovery, highlighting potential iatrogenic contamination risks.

Area of Science:

  • Neuroscience
  • Infectious Diseases
  • Neurosurgery

Background:

  • Chronic subdural hematoma (CSDH) is a collection of blood that can lead to neurological symptoms.
  • Infection of the subdural space is a rare but serious complication.

Observation:

  • A patient with bilateral CSDH developed symptoms of central nervous system infection, including hyperpyrexia and drowsiness, after burr-hole drainage.
  • Suspected subdural suppuration led to further surgical intervention.

Findings:

  • Cultures from evacuated pus confirmed Klebsiella pneumoniae infection within the subdural space.
  • Intravenous meropenem treatment for 6 weeks resulted in complete patient recovery.

Implications:

  • This case highlights the risk of iatrogenic contamination leading to severe infections in patients with CSDH.
  • Early diagnosis and aggressive management, including surgical evacuation and targeted antibiotics, are crucial for favorable outcomes in CNS infections.
Keywords:
Bilateral chronic subdural hematomaBurr-hole drainageContaminationKlebsiella pneumoniaSubdural empyema

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