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Community acquired Klebsiella pneumoniae meningitis: a case report
Bianca Lee1, Kevin Yeroushalmi2, Hay Me Me2
1DO, Department of Internal Medicine, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY, 11554, USA.
Introduction:
Klebsiella pneumoniae meningitis is most commonly seen as a nosocomial infection and in post-neurosurgical patients. Reports of community acquired Klebsiella pneumoniae meningitis cases are rare in the United States. The objective of this case report is to discuss an uncommon pathogen causing meningitis, Klebsiella pneumoniae, its risk and prognostic factors and to emphasize the importance of early recognition and appropriate antibiotic treatment.
Case Report:
We report a clinical case of adult community acquired Klebsiella pneumoniae meningitis with recovery. A 54-year-old diabetic male presented with two-week history of intermittent fevers, acute bilateral ear pain, headache and unsteady gait. Broad spectrum antibiotics were initiated. Klebsiella pneumoniae was isolated in the cerebrospinal fluid cultures. The patient recovered with only mild hearing loss in his left ear.
Conclusion:
Our case highlights the importance of suspecting Klebsiella pneumoniae in community acquired meningitis.
Insights
Community-acquired Klebsiella pneumoniae meningitis is rare but treatable. Early recognition and antibiotic therapy are crucial for recovery, even in high-risk patients like diabetics.
Area of Science:
- Neurology
- Infectious Diseases
Background:
- Klebsiella pneumoniae meningitis is typically a nosocomial infection, rarely seen in the community.
- Community-acquired cases are infrequent in the United States, making them diagnostically challenging.
Observation:
- A 54-year-old diabetic male presented with symptoms including fever, ear pain, headache, and unsteady gait.
- Cerebrospinal fluid cultures confirmed Klebsiella pneumoniae as the causative agent.
Findings:
- The patient received broad-spectrum antibiotics and ultimately recovered.
- The patient experienced only mild hearing loss in his left ear as a sequela.
Implications:
- This case underscores the importance of considering Klebsiella pneumoniae in community-acquired meningitis.
- Prompt diagnosis and targeted antibiotic treatment are vital for favorable outcomes in rare meningitis cases.
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