Klebsiella pneumoniae brain abscesses in an elderly patient without clinically evident neurological signs and symptoms.
Acta Neurol Taiwan
; 28(1): 12-16, 2019 Mar 15.
Article
em En
| MEDLINE
| ID: mdl-31321760
ABSTRACT
PURPOSE:
It is difficult to diagnose a brain abscess if the patient does not have clinically evident neurological features. We present the diagnosis and therapeutic course of an elderly woman with multiple Klebsiella (K.) pneumoniae brain abscesses without neurological signs or symptoms. CASE REPORT The patient was an 81-year-old woman without diabetes who had been discharged from our hospital about 7 days before this admission with a diagnosis of K. pneumoniae urinary tract and bloodstream infections. She did not have any clinically evident neurological features except for a fever, however focal suppurations were identified in the cerebral hemispheres and lungs by magnetic resonance imaging (MRI) and computed tomography, respectively. After an 11-week course of antibiotic treatment and serial cranial MRI follow-up studies, she was discharged in a stable condition with no neurological sequelae.CONCLUSION:
Cranial MRI should be performed to identify the presence of brain abscesses in elderly patients with K. pneumoniae bloodstream infections but without clinically evident neurological signs or symptoms. Serial MRI studies are important to monitor the therapeutic course.
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Coleções:
01-internacional
Contexto em Saúde:
3_ND
Base de dados:
MEDLINE
Assunto principal:
Abscesso Encefálico
/
Infecções por Klebsiella
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Aged80
/
Female
/
Humans
Idioma:
En
Revista:
Acta Neurol Taiwan
Ano de publicação:
2019
Tipo de documento:
Article