폐렴막대균(Klebsiella pneumoniae)의 전립샘고름집으로부터 혈행파종으로 발생한 뇌고름집
Hematogenous Brain Abscess Resulting from Prostatic Abscess Caused by Klebsiella pneumoniae
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Brain abscess, a life-threatening infection, can result from hematogenous spread. Although uncommon, Klebsiella pneumoniae can lead to brain abscess and systemic dissemination. In this case report, Klebsiella pneumoniae brain abscess, linked with prostate abscess, in a 57-year-old diabetic male with liver cirrhosis and hepatitis B, resulted in fatal sepsis despite antibiotic therapy. This case underscores Klebsiella's grave risk in immunocompromised patients, highlighting brain abscess and high mortality. Early diagnosis, treatment, and evaluation for multiple organ involvement are crucial.
Abstract
Brain abscess, a life-threatening infection, can result from hematogenous spread. Although uncommon, Klebsiella pneumoniae can lead to brain abscess and systemic dissemination. In this case report, Klebsiella pneumoniae brain abscess, linked with prostate abscess, in a 57-year-old diabetic male with liver cirrhosis and hepatitis B, resulted in fatal sepsis despite antibiotic therapy. This case underscores Klebsiella's grave risk in immunocompromised patients, highlighting brain abscess and high mortality. Early diagnosis, treatment, and evaluation for multiple organ involvement are crucial.
참고문헌 (9)
- Erdoğan E, "Pyogenic brain abscess", Neurosurg Focus, 24, pp.E2~ (2008)
- Paczosa MK, "Klebsiella pneumoniae : going on the offense with a strong defense", Microbiol Mol Biol Rev, 80, pp.629~661 (2016)
- Lee HC, "Clinical implications of hypermucoviscosity phenotype in Klebsiella pneumoniae isolates : association with invasive syndrome in patients with community-acquired bacteraemia", J Intern Med, 259, pp.606~614 (2006)
- Deryckère A, "Endogenous Klebsiella pneumoniae endophthalmitis secondary to a renal abscess : a case report", J Fr Ophtalmol, 32, pp.280~283 (2009)
- Lu CH, "Klebsiella meningitis in adults : clinicalfeatures, prognostic factors and therapeutic outcomes", J Clin Neurosci, 9, pp.533~538 (2002)
- Ziai WC, "Update in the diagnosis and management of central nervous system infections", Neurol Clin, 26, pp.427~468 (2008)
- Mowat A, "Chemotaxis of polymorphonuclear leukocytes from patients with diabetes mellitus", N Engl J Med, 284, pp.621~627 (1971)
- Cheng DL, "Septic metastatic lesions of pyogenic liver abscess : their association with Klebsiella pneumoniae bacteremia in diabetic patients", Arch Intern Med, 151, pp.1557~1559 (1991)
- Sharma R, "Intracranial abscesses : changes in epidemiology and management over five decades in Merseyside", Infection, 37, pp.39~43 (2009)
