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KMID : 1034720220140020099
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Journal of Neurosonology and Neuroimaging
2022 Volume.14 No. 2 p.99 ~ p.103
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Klebsiella pneumoniae Cerebritis Masquerading as Hyperacute Middle Cerebral Artery Syndrome
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Park Sang-Il
Oh Chi-Hyuk
Lee Jin-San
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Abstract
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Several clinical syndromes can present with the symptoms or signs resembling an acute stroke. A 52-year-old woman with uncontrolled diabetes presented with symptoms of a hyperacute right middle cerebral artery (MCA) stroke. However, there was a discrepancy between the patient’s clinical symptoms and the multimodal neuroimaging findings. Further diagnostic workup confirmed bacteremia and cerebritis caused by Klebsiella pneumoniae and a liver abscess. Thus, we made a diagnosis of K. pneumoniae liver abscess syndrome (KLAS). Following appropriate antibiotic treatment, the patient recovered completely without any neurological deficits. This is a novel report on K. pneumoniae cerebritis in a patient with KLAS presenting with symptoms resembling a hyperacute MCA stroke. Clinicians should consider K. pneumoniae cerebritis as a tentative diagnosis upon observing liver abscess in patients with uncontrolled diabetes and hyperacute neurological deficits.
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KEYWORD
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stroke, Klebsiella pneumoniae, liver abscess
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