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http://dx.doi.org/10.3340/jkns.2009.45.6.397

Bilateral Chronic Subdural Hematoma Contaminated with Klebsiella Pneumoniae : An Unusual Case  

Bakar, Bulent (Department of Neurosurgery, Kirikale University Faculty of Medicine)
Sungur, Cem (Department of Internal Medicine, MESA Hospital)
Tekkok, Ismail Hakki (Department of Neurosurgery, MESA Hospital)
Publication Information
Journal of Korean Neurosurgical Society / v.45, no.6, 2009 , pp. 397-400 More about this Journal
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.
Keywords
Bilateral chronic subdural hematoma; Burr-hole drainage; Contamination; Klebsiella pneumonia; Subdural empyema;
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