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Journal of Korean Neurosurgical Society 2008;44(6): 382-384.
doi: https://doi.org/10.3340/jkns.2008.44.6.382
Gas-Forming Brain Abscess Caused by Klebsiella Pneumoniae.
Keun Tae Cho, Bong Jin Park
1Department of Neurosurgery, Dongguk University Ilsan Hospital Seoul, Korea.
2Department of Neurosurgery, Kyung Hee University Hospital, Seoul, Korea. hyunsong@khmc.or.kr
ABSTRACT
Gas forming brain abscess is a rare disease caused by Klebsiella pneumoniae occurring in patients with impaired host defense mechanism such as diabetes mellitus or liver cirrhosis. A 59-year-old man with 2-year history of diabetes mellitus and 20-year history of liver cirrhosis presented to the hospital with headache. On the day after admission, severe headache was developed and he deteriorated rapidly. Brain CT showed a non-enhanced mass including multiple air density as well as surrounding edema seen in the right occipital lobe, and isodensity air-fluid level seen in the right lateral ventricle. Despite emergent ventricular drainage and intraventricular and intravenous administration of antibiotics, his condition progressively worsened to sepsis and to death after 5 days. Bacterial culture of blood and ventricular fluids disclosed a Gram (-) rod, Klebsiella pneumoniae. In this report we review the pathogenic mechanism and its management.
Key Words: Brain abscess; Klebsiella pneumoniae; Air
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