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KMID : 1001920090450060397
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Journal of Korean Neurosurgical Society
2009 Volume.45 No. 6 p.397 ~ p.400
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Bilateral Chronic Subdural Hematoma Contaminated with Klebsiella Pneumoniae : An Unusual Case
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Bakar Bulent
Sungur Cem
Tekkok Ismail Hakki
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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.
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KEYWORD
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Bilateral chronic subdural hematoma, Burr-hole drainage, Contamination, Klebsiella pneumonia, Subdural empyema
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