Format

Send to

Choose Destination
See comment in PubMed Commons below
Surg Neurol. 2004 Oct;62(4):362-5; discussion 365.

Massive intracerebral air embolism associated with meningitis and lumbar spondylitis: case report.

Author information

1
Armed Forces Tso Ying Hospital, Kaohsiung, Taiwan.

Abstract

BACKGROUND:

Massive intracerebral air embolism is a rare pathologic state and never in association with meningitis and lumbar spondylitis. To the best of our knowledge, our presented case is the first of a massive intracerebral air embolism associated with meningitis and lumbar spondylitis of Klebsiella pneumonia.

CASE DESCRIPTION:

A 55-year-old man presented with a high fever and low back pain. Blood culture showed Klebsiella pneumonia. Lumbar computed tomography (CT) revealed discitis at L1-2 and L2-3 levels and paraspinal abscess in which air was found. Despite management with antibiotics, patient's consciousness deteriorated, and brain CT revealed diffuse intravenous air embolism and severe brain swelling. Cerebrospinal fluid (CSF) examination demonstrated bacterial meningitis, and the CSF culture showed Klebsiella pneumonia. Later, septic shock occurred and patient expired.

CONCLUSION:

Intracerebral air embolism can occur in the Klebsiella pneumonia meningitis that resulted from lumbar spondylitis and sepsis.

PMID:
15451293
DOI:
10.1016/j.surneu.2003.11.035
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center