Postoperative Meningitis and Epidural Abscess due to Extended-spectrum β-Lactamase-producing Klebsiella pneumoniae: A Case Report and a Review of the Literature
Year: 2012
Type: article
Study design: Case Report
Abstract: 17-year-old man had been involved in a traffic accident. He underwent a bilateral craniotomy with artificial dura mater to remove bilateral acute subdural hematomas. Seven months later, a right cranioplasty was performed using frozen auto-bone, and he developed extended-spectrum β-lactamase (ESBL)-producing Klebsiella pneumoniae meningitis and an epidural abscess. Since his general status was poor, we could not remove the foreign body (artificial dura mater). He was successfully treated with meropenem and chronic suppression with oral trimethoprim-sulfamethoxazole. By describing this case and the results of a review of the pertinent literature, we discuss the importance of ESBL-producing Klebsiella pneumoniae meningitis in posttraumatic/postoperative patients.
Source: Internal Medicine
Authors: Kenichiro Yaita, Masanari Komatsu, Yusuke Oshiro, Yukihiro Yamaguchi
Institution: Kenwakai Ootemachi Hospital
Language: English
Subfield: Microbiology (medical)
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2012054766