Fatal Klebsiella pneumoniae Meningitis and Emphysematous Brain Abscess After Endoscopic Variceal Ligation in a Patient with Liver Cirrhosis and Diabetes Mellitus
Procedure-related bacterial infections may complicate esophageal variceal ligation in cirrhosis patients. Here, we report a 58-year-old man with underlying diabetes and liver cirrhosis who developed Klebsiella pneumoniae meningitis and brain abscess with gas formation in brain parenchyma and ventric...
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2006-01-01
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doaj-b082a330401748d88de756e3c0960a232020-11-24T22:53:34ZengElsevierJournal of the Formosan Medical Association0929-66462006-01-011051085786010.1016/S0929-6646(09)60275-8Fatal Klebsiella pneumoniae Meningitis and Emphysematous Brain Abscess After Endoscopic Variceal Ligation in a Patient with Liver Cirrhosis and Diabetes MellitusHsin-I Shih0Hsin-Chun Lee1Chiao-Hsiung Chuang2Wen-Chien Ko3Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, TaiwanDepartment of Internal Medicine, National Cheng Kung University Hospital, Tainan, TaiwanDepartment of Internal Medicine, National Cheng Kung University Hospital, Tainan, TaiwanDepartment of Internal Medicine, National Cheng Kung University Hospital, Tainan, TaiwanProcedure-related bacterial infections may complicate esophageal variceal ligation in cirrhosis patients. Here, we report a 58-year-old man with underlying diabetes and liver cirrhosis who developed Klebsiella pneumoniae meningitis and brain abscess with gas formation in brain parenchyma and ventricles after this procedure. Despite administration of appropriate antimicrobial therapy, he became comatose on the 3rd day of acute illness and died on the 4th day of hospitalization. This case highlights the indication for antimicrobial prophylaxis in cirrhotic patients with gastrointestinal bleeding, and the need for early and heightened awareness of central nervous system infections in cirrhotic patients with hepatic encephalopathy.http://www.sciencedirect.com/science/article/pii/S0929664609602758antimicrobial prophylaxisemphysematous brain abscessendoscopic variceal ligationKlebsiella pneumoniaemeningitis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hsin-I Shih Hsin-Chun Lee Chiao-Hsiung Chuang Wen-Chien Ko |
spellingShingle |
Hsin-I Shih Hsin-Chun Lee Chiao-Hsiung Chuang Wen-Chien Ko Fatal Klebsiella pneumoniae Meningitis and Emphysematous Brain Abscess After Endoscopic Variceal Ligation in a Patient with Liver Cirrhosis and Diabetes Mellitus Journal of the Formosan Medical Association antimicrobial prophylaxis emphysematous brain abscess endoscopic variceal ligation Klebsiella pneumoniae meningitis |
author_facet |
Hsin-I Shih Hsin-Chun Lee Chiao-Hsiung Chuang Wen-Chien Ko |
author_sort |
Hsin-I Shih |
title |
Fatal Klebsiella pneumoniae Meningitis and Emphysematous Brain Abscess After Endoscopic Variceal Ligation in a Patient with Liver Cirrhosis and Diabetes Mellitus |
title_short |
Fatal Klebsiella pneumoniae Meningitis and Emphysematous Brain Abscess After Endoscopic Variceal Ligation in a Patient with Liver Cirrhosis and Diabetes Mellitus |
title_full |
Fatal Klebsiella pneumoniae Meningitis and Emphysematous Brain Abscess After Endoscopic Variceal Ligation in a Patient with Liver Cirrhosis and Diabetes Mellitus |
title_fullStr |
Fatal Klebsiella pneumoniae Meningitis and Emphysematous Brain Abscess After Endoscopic Variceal Ligation in a Patient with Liver Cirrhosis and Diabetes Mellitus |
title_full_unstemmed |
Fatal Klebsiella pneumoniae Meningitis and Emphysematous Brain Abscess After Endoscopic Variceal Ligation in a Patient with Liver Cirrhosis and Diabetes Mellitus |
title_sort |
fatal klebsiella pneumoniae meningitis and emphysematous brain abscess after endoscopic variceal ligation in a patient with liver cirrhosis and diabetes mellitus |
publisher |
Elsevier |
series |
Journal of the Formosan Medical Association |
issn |
0929-6646 |
publishDate |
2006-01-01 |
description |
Procedure-related bacterial infections may complicate esophageal variceal ligation in cirrhosis patients. Here, we report a 58-year-old man with underlying diabetes and liver cirrhosis who developed Klebsiella pneumoniae meningitis and brain abscess with gas formation in brain parenchyma and ventricles after this procedure. Despite administration of appropriate antimicrobial therapy, he became comatose on the 3rd day of acute illness and died on the 4th day of hospitalization. This case highlights the indication for antimicrobial prophylaxis in cirrhotic patients with gastrointestinal bleeding, and the need for early and heightened awareness of central nervous system infections in cirrhotic patients with hepatic encephalopathy. |
topic |
antimicrobial prophylaxis emphysematous brain abscess endoscopic variceal ligation Klebsiella pneumoniae meningitis |
url |
http://www.sciencedirect.com/science/article/pii/S0929664609602758 |
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