간농양과 연관된 Klebsiella Pneumoniae 뇌수막염 증례

Abstract

Background: Bacterial meningitis is one of neurologic emergency. Klebsiella pneumoniae is considered to be the uncommon pathogen for bacterial meningitis. We report the patient with Klebsiella pneumoniae meningitis associated with liver abscess. Case Report:A 65-year-old male was admitted due to fever, mental deterioration. In cerebrospinal fluid study, white blood cell was 12450/mm3, protein was 1028.5 mg/dL and glucose was uncheckable. We started treatment of antibiotics. Brain MRI showed diffuse high signal intensities along the sulcus in both hemispheres on fluid attenuated inversion recovery image. The culture of CSF yielded Klebsiella pneumoniae. Abdomen CT scan showed 3.5 cm lobulated low attenuated lesion in right hepatic lobe. Patient was received the drainage of liver abscess procedure. He recovered mental status after 7 days of treatment. Conclusion: Klebsiella pneumoniae has been considered to be an rare cause of meningitis especially immune-suppressive state. And if Klebsiella pneumoniae meningitis is diagnosed, we should search combined infection of other organs.