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Occult community acquired Klebsiella pneumoniae purulent meningitis in an adult: A case report
RATIONALE: Klebsiella pneumonia (K. pneumonia), primarily a hospital-acquired pathogen, can cause a variety of deep-seated infections with significant morbidities. However, in the current scenario of global rise in antibiotic abuse, unexpected infection could be caused by K. pneumoniae. PATIENT CONC...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6024475/ https://www.ncbi.nlm.nih.gov/pubmed/29923989 http://dx.doi.org/10.1097/MD.0000000000011017 |
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author | Yang, Kai-Chuang Shrestha, Tejashwi Kolakshyapati, Manish Shi, Ling-Fei Wang, Zheng Li, Min Lou, Lin Zhou, Jia |
author_facet | Yang, Kai-Chuang Shrestha, Tejashwi Kolakshyapati, Manish Shi, Ling-Fei Wang, Zheng Li, Min Lou, Lin Zhou, Jia |
author_sort | Yang, Kai-Chuang |
collection | PubMed |
description | RATIONALE: Klebsiella pneumonia (K. pneumonia), primarily a hospital-acquired pathogen, can cause a variety of deep-seated infections with significant morbidities. However, in the current scenario of global rise in antibiotic abuse, unexpected infection could be caused by K. pneumoniae. PATIENT CONCERNS: A 56-year-old male who presented with intermittent headache and low fever was admitted, he had transsphenoidal surgery for pituitary adenoma 3 years ago. Routine laboratory tests revealed an elevated WBC count of 10.12 × 10(9)/L and C-reactive protein (CRP) 12.9 mg/L. computed tomography (CT) revealed the sellar region with suspicious hemorrhage. DIAGNOSES: The patient was initially diagnosed with acute residual tumor hemorrhage. But the consequent diagnose of Klebsiella pneumoniae purulent meningitis was made based on the cerebrospinal fluid lab test and cerebrospinal fluid (CSF) and blood culture, and CT scan. INTERVENTIONS: Lumbar puncture examination was made and the antibiotics were adjusted to meropenem and vancomycin according to the antibiotic sensitivity test. But because of the patient's unstable vital signs, his family refuse further lateral ventricular drainage. OUTCOMES: The infection was out of control and the patient died of spontaneous breath and heartbeat arrest. LESSONS: Through this case, we could learn that any clue of suspicious intracranial infection should be carefully considered in the current scenario of global rise in antibiotic abuse. The manifestation of intermittent headache and mild fever could be potential signs of fatal infection, and prompt appropriate measures should be taken timely. |
format | Online Article Text |
id | pubmed-6024475 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-60244752018-07-03 Occult community acquired Klebsiella pneumoniae purulent meningitis in an adult: A case report Yang, Kai-Chuang Shrestha, Tejashwi Kolakshyapati, Manish Shi, Ling-Fei Wang, Zheng Li, Min Lou, Lin Zhou, Jia Medicine (Baltimore) Research Article RATIONALE: Klebsiella pneumonia (K. pneumonia), primarily a hospital-acquired pathogen, can cause a variety of deep-seated infections with significant morbidities. However, in the current scenario of global rise in antibiotic abuse, unexpected infection could be caused by K. pneumoniae. PATIENT CONCERNS: A 56-year-old male who presented with intermittent headache and low fever was admitted, he had transsphenoidal surgery for pituitary adenoma 3 years ago. Routine laboratory tests revealed an elevated WBC count of 10.12 × 10(9)/L and C-reactive protein (CRP) 12.9 mg/L. computed tomography (CT) revealed the sellar region with suspicious hemorrhage. DIAGNOSES: The patient was initially diagnosed with acute residual tumor hemorrhage. But the consequent diagnose of Klebsiella pneumoniae purulent meningitis was made based on the cerebrospinal fluid lab test and cerebrospinal fluid (CSF) and blood culture, and CT scan. INTERVENTIONS: Lumbar puncture examination was made and the antibiotics were adjusted to meropenem and vancomycin according to the antibiotic sensitivity test. But because of the patient's unstable vital signs, his family refuse further lateral ventricular drainage. OUTCOMES: The infection was out of control and the patient died of spontaneous breath and heartbeat arrest. LESSONS: Through this case, we could learn that any clue of suspicious intracranial infection should be carefully considered in the current scenario of global rise in antibiotic abuse. The manifestation of intermittent headache and mild fever could be potential signs of fatal infection, and prompt appropriate measures should be taken timely. Wolters Kluwer Health 2018-06-22 /pmc/articles/PMC6024475/ /pubmed/29923989 http://dx.doi.org/10.1097/MD.0000000000011017 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 |
spellingShingle | Research Article Yang, Kai-Chuang Shrestha, Tejashwi Kolakshyapati, Manish Shi, Ling-Fei Wang, Zheng Li, Min Lou, Lin Zhou, Jia Occult community acquired Klebsiella pneumoniae purulent meningitis in an adult: A case report |
title | Occult community acquired Klebsiella pneumoniae purulent meningitis in an adult: A case report |
title_full | Occult community acquired Klebsiella pneumoniae purulent meningitis in an adult: A case report |
title_fullStr | Occult community acquired Klebsiella pneumoniae purulent meningitis in an adult: A case report |
title_full_unstemmed | Occult community acquired Klebsiella pneumoniae purulent meningitis in an adult: A case report |
title_short | Occult community acquired Klebsiella pneumoniae purulent meningitis in an adult: A case report |
title_sort | occult community acquired klebsiella pneumoniae purulent meningitis in an adult: a case report |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6024475/ https://www.ncbi.nlm.nih.gov/pubmed/29923989 http://dx.doi.org/10.1097/MD.0000000000011017 |
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