Bilateral Chronic Subdural Hematoma Contaminated with Klebsiella Pneumoniae: An Unusual Case


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Bakar B., Sungur C., Tekkok I. H.

JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, cilt.45, sa.6, ss.397-400, 2009 (SCI-Expanded, Scopus)

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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.