| Bilateral Chronic Subdural Hematoma Contaminated with Klebsiella Pneumoniae : An Unusual Case. |
| Bulent Bakar, Cem Sungur, Ismail Hakki Tekkok |
1Department of Neurosurgery, Kirikale University Faculty of Medicine, Kirikale, Turkey. bulentbanrs@yahoo.com
2Department of Internal Medicine, MESA Hospital, Ankara, Trukey.
3Department of Neurosurgery, MESA Hospital, Ankara, Trukey. |
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| ABSTRACT |
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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. |
| Key Words:
Bilateral chronic subdural hematoma; Burr-hole drainage; Contamination; Klebsiella pneumonia; Subdural empyema |
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