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Literature DB >> 19609428

Bilateral chronic subdural hematoma contaminated with Klebsiella pneumoniae : an unusual case.

Bulent Bakar¹, Cem Sungur, Ismail Hakki Tekkok.

Abstract

This article presents the case of a bilateral chronic subdural hematoma which was contaminated with Klebsiella pneumoniae and resulted in a life-threatening central nervous system infection. After repeated of bilateral burr-hole drainage, the patient became hyperpyrexic and drowsy. Suppuration within the subdural space was suspected and then the patient underwent bilateral fronto-temporo-parietal craniotomies, and pus was evacuated. Its cultures revealed Klebsiella pneumoniae. Intravenous meropenem was given for 6 weeks. He recovered completely. Microorganisms like Klebsiella pneumoniae may directly infect the subdural space with iatrogenic contamination.

Entities: Chemical Disease Species

Keywords: Bilateral chronic subdural hematoma; Burr-hole drainage; Contamination; Klebsiella pneumonia; Subdural empyema

Year: 2009 PMID： 19609428 PMCID： PMC2711242 DOI： 10.3340/jkns.2009.45.6.397

Source DB: PubMed Journal: J Korean Neurosurg Soc ISSN： 1225-8245

20 in total

1. Low rate of venous thromboembolism after craniotomy for brain tumor using multimodality prophylaxis.

Authors: Samuel Z Goldhaber; Kelly Dunn; Marie Gerhard-Herman; John K Park; Peter McL Black
Journal: Chest Date: 2002-12 Impact factor: 9.410

2. Subdural empyema. A review of 48 patients.

Authors: H W Mauser; C A Tulleken
Journal: Clin Neurol Neurosurg Date: 1984 Impact factor: 1.876

Review 3. Subdural empyema and other suppurative complications of paranasal sinusitis.

Authors: Melissa K Osborn; James P Steinberg
Journal: Lancet Infect Dis Date: 2007-01 Impact factor: 25.071

4. Pneumocephalus secondary to septic thrombosis of the superior sagittal sinus: report of a case.

Authors: C B Luo; M M Teng; S S Chen; J F Liring; F C Chang
Journal: J Formos Med Assoc Date: 2001-02 Impact factor: 3.282

5. Prospective evaluation of the safety of enoxaparin prophylaxis for venous thromboembolism in patients with intracranial hemorrhagic injuries.

Authors: Scott H Norwood; Clyde E McAuley; John D Berne; Van L Vallina; D Brent Kerns; Thomas W Grahm; Kevin Short; Jerry W McLarty
Journal: Arch Surg Date: 2002-06

Review 2. Chronic subdural hematoma.

Authors: Yad R Yadav; Vijay Parihar; Hemant Namdev; Jitin Bajaj
Journal: Asian J Neurosurg Date: 2016 Oct-Dec

2 in total

Bilateral chronic subdural hematoma contaminated with Klebsiella pneumoniae : an unusual case.

1. Low rate of venous thromboembolism after craniotomy for brain tumor using multimodality prophylaxis.

2. Subdural empyema. A review of 48 patients.

Review 3. Subdural empyema and other suppurative complications of paranasal sinusitis.

4. Pneumocephalus secondary to septic thrombosis of the superior sagittal sinus: report of a case.

5. Prospective evaluation of the safety of enoxaparin prophylaxis for venous thromboembolism in patients with intracranial hemorrhagic injuries.

6. Subdural and epidural empyemas: MR imaging.

7. Spectrum of intracranial subdural empyemas in a series of 45 patients: current surgical options and outcome.

8. [A case of infected subdural hematoma following chronic subdural hematoma irrigation].

9. Supra- and infratentorial subdural empyema secondary to septicemia in a patient with liver abscess--case report.

10. Management of subdural intracranial empyemas should not always require surgery.

1. Subdural empyema complicated after trepanation and drainage of chronic subdural hematoma: A case report.

Review 2. Chronic subdural hematoma.