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KMID : 1001920080440060382
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Journal of Korean Neurosurgical Society
2008 Volume.44 No. 6 p.382 ~ p.384
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Gas-Forming Brain Abscess Caused by Klebsiella Pneumoniae
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Cho Keun-Tae
Park Bong-Jin
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Abstract
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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.
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KEYWORD
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Brain abscess, Klebsiella pneumoniae, Air
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