Surgical neurology international · 2025
Postoperative meningitis due to carbapenemase-producing Klebsiella pneumoniae: A case report and literature review.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kalai Firas, Rebai Lotfi, Sammari Sarra, Faten Olfa, Ben Brahem Sabrine, Kacem Hichem Hadj, Ardhaoui Ichraf
Аннотация
BACKGROUND: Postoperative meningitis is a serious complication in neurosurgery. Early diagnosis and appropriate management are essential to reduce its significant morbidity and mortality.
CASE DESCRIPTION: We report the case of a 76-year-old patient who underwent evacuation of a posterior fossa hematoma. On postoperative day 19, he presented with fever and surgical wound necrosis. Surgical revision revealed a collection fistulized to the skin. Cerebrospinal fluid analysis and intraoperative samples confirmed postoperative meningitis caused by multidrug-resistant Klebsiella pneumoniae, susceptible only to colistin and fosfomycin. Despite treatment adjustment, the patient's condition worsened, and he died 12 days after surgical revision due to massive pulmonary embolism.
CONCLUSION: This case highlights the severity of postoperative meningitis due to extensively drug-resistant K. pneumoniae and underlines the importance of early diagnosis, bacteriological analysis of surgical samples, and rapid adaptation of antibiotic therapy in specialized settings.
CASE DESCRIPTION: We report the case of a 76-year-old patient who underwent evacuation of a posterior fossa hematoma. On postoperative day 19, he presented with fever and surgical wound necrosis. Surgical revision revealed a collection fistulized to the skin. Cerebrospinal fluid analysis and intraoperative samples confirmed postoperative meningitis caused by multidrug-resistant Klebsiella pneumoniae, susceptible only to colistin and fosfomycin. Despite treatment adjustment, the patient's condition worsened, and he died 12 days after surgical revision due to massive pulmonary embolism.
CONCLUSION: This case highlights the severity of postoperative meningitis due to extensively drug-resistant K. pneumoniae and underlines the importance of early diagnosis, bacteriological analysis of surgical samples, and rapid adaptation of antibiotic therapy in specialized settings.