Fatal Klebsiella pneumoniae meningitis and emphysematous brain abscess after endoscopic variceal ligation in a patient with liver cirrhosis and diabetes mellitus

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Abstract

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 prophylaids 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.

Original languageEnglish
Pages (from-to)857-860
Number of pages4
JournalJournal of the Formosan Medical Association
Volume105
Issue number10
DOIs
Publication statusPublished - 2006 Oct

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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