Abstract
Gas forming brain abscess is a rare disease caused by 'Klebsiella pneumoniae occurring in patients with impaired host defense mechanism such as diabetes mellitus or liver cirrhosis. A 59-year-old man with 2-year history of diabetes mellitus and 20-year history of liver cirrhosis presented to the hospital with headache. On the day after admission, severe headache was developed and he deteriorated rapidly. Brain CT showed a non-enhanced mass including multiple air density as well as surrounding edema seen in the right occipital lobe, and isodensity air-fluid level seen in the right lateral ventricle. Despite emergent ventricular drainage and intraventricular and intravenous administration of antibiotics, his condition progressively worsened to sepsis and to death after 5 days. Bacterial culture of blood and ventricular fluids disclosed a Gram (-) rod, Klebsiella pneumoniae. In this report we review the pathogenic mechanism and its management.
Original language | English |
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Pages (from-to) | 382-384 |
Number of pages | 3 |
Journal | Journal of Korean Neurosurgical Society |
Volume | 44 |
Issue number | 6 |
DOIs | |
State | Published - 2008 |
Keywords
- Air
- Brain abscess
- Klebsiella pneumoniae