- 증례 : 뇌실염과 뇌농양이 합병된 전격적인 크렙시엘라 뇌막염 1례
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Joong-Yang Cho, So-Young Park, Dong-Ha Lee, So-Young Seo, Yong-Jin Cho, Han-Joon Kim, Keun-Sik Hong
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Korean J Headache. 2007;8(2):110-112. Published online December 31, 2007
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- Klebsiella pneumoniae is a rare, but important cause of community-acquired meningitis. We report a case of fulminant Klebsiella pneumoniae meningitis complicated with ventricultis and brain abscess. A 65-year-old man admitted because of headache. He had a history of bacterial meningitis 6-months ago. The findings of CSF profile and culture was compatible with Klebsiella pneumoniae meningitis. Rapid progression of ventriculitis was found in a few days. Even though the ventriculitis improved, brain abscess developed in 25 days later.
- 증례 : 다발성 농양 및 안내염을 동반한 크렙시엘라 뇌막염 1례
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Jong-Kwan Park, So-Young Park, Dong-Ha Lee, Yong-Jin Cho, Joong-Yang Cho, Han-Joon Kim, Keun-Sik Hong
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Korean J Headache. 2006;7(2):118-120. Published online December 31, 2006
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Abstract
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- Klebsiella pneumoniae usually causes pneumonia, pyogenic liver abscess, and bacteremia. Meningitis is a rare form of Klebsiella infection. We report a case of Klebsiella meningitis associated with liver abscess, renal abscess, and endoph- thalmitis. A 69-year-old man presented with headache, fever and altered mentality. Antibiotic therapy was administered under the impression of bacterial meningitis based on brain CT and CSF examination. Despite the improvement of CSF profiles, patient was deteriorated with aggravation of laboratory profile such as liver enzyme, bilirubin, and creatinine levels. Multiple liver and renal abscesses were found on abdominal CT and treated with abscess drainage. Klebsiella was isolated in blood, urine and liver abscess cultures. During the hospitalization, endophthalmitis occurred and resulted in visual loss despite treatment. Klebsiella infection should be considered as one of causative pathogen in case of meningitis associated with abscess and endophthalmitis.
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KHS
