Document Detail


Nosocomial meningitis caused by gas producing Klebsiella pneumoniae.
MedLine Citation:
PMID:  22604204     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 40-year-old woman presented with dyspnoea and lowered level of consciousness. Three months before presentation she had underwent craniotomy for an episode of acute subdural hematoma caused by a severe neurotrauma. Her temperature was 37.3°C, she had no focal neurological deficits or neck stiffness, and the score on the Glasgow Coma Scale was 9 (E2M5V2). Cranial CT showed obstruction hydrocephalus with hypodensities consistent with airbubbles in the lateral ventricles, but no air in the proximity of the skull defect resulting from the craniotomy. External ventricular drainage was performed and cerebrospinal fluid (CSF) examination showed 126 327 leucocytes per μl, a protein level of 26.28 g/l and a glucose level of <0.1 mmol/l. CSF culture grew Klebsiella pneumoniae, a gas producing bacterium. Despite antibiotic treatment with meropenem, ceftriaxone and intraventricular gentamicin and supportive therapy, our patient deteriorated and died 3 weeks after admission. The family did not give consent for autopsy.
Authors:
Joost M Costerus; Diederik van de Beek; Matthijs C Brouwer
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2012-04-04
Journal Detail:
Title:  BMJ case reports     Volume:  2012     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2012  
Date Detail:
Created Date:  2012-05-18     Completed Date:  2013-02-12     Revised Date:  2014-04-04    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Anti-Bacterial Agents / therapeutic use
Cross Infection / diagnosis*,  drug therapy,  microbiology*
Diagnosis, Differential
Fatal Outcome
Female
Humans
Klebsiella Infections / diagnosis*,  drug therapy,  microbiology*
Klebsiella pneumoniae / isolation & purification*
Meningitis / diagnosis*,  drug therapy,  microbiology*
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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