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KMID : 1201420100030020049
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Journal of Neurocritical Care
2010 Volume.3 No. 2 p.49 ~ p.51
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Cervical Epidural Abscess due to Klebsiella Pneumoniae in a Metamphetamine Addict
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Ha Yoon-Seok
Na Ju-Young
Kim Meyung-Kug
Yoo Bong-Goo
Kim Dae-Yong
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Abstract
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Background: Spinal epidural abscess is a severe, generally pyogenic infection of the epidural space requiring emergent neurological intervention to avoid permanent neurological deficits. A drug abuse is an important risk factor for the development of spinal epidural abscess. Klebsiella pneumoniae is very rare pathogen for spinal epidural abscess.
Case Report: A 43-year-old man who is a methamphetamine abuse presented with fever, headache and altered mentality. Quadriplegia occurred despite of antibiotics therapy. C-spine MRI revealed a spinal epidural abscess from C5 to T1 space. Klebsiella pneumonia was isolated in culture of abscess.
Conclusions: We report a case of cervical epidural abscess due to Klebsiella pneumoniae in a methamphetamine addict. Although early diagnosis is warranted for spinal epidural abscess, it is still difficult when patients present atypical symptoms.
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KEYWORD
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Spinal epidural abscess, Methamphetamine, Klebsiella pneumoniae
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