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Fatal Klebsiella pneumoniae meningitis and concomitant disseminated intravascular coagulation in a patient with diabetes mellitus

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Author(s): Ho Min-Po | Tsai Kuang-Chau | Liao Chun-Hsing

Journal: Journal of Emergencies, Trauma and Shock
ISSN 0974-2700

Volume: 2;
Issue: 2;
Start page: 135;
Date: 2009;
Original page

Keywords: Death | diabetes mellitus | disseminated intravascular coagulation | Klebsiella pneumoniae | meningitis

ABSTRACT
Bacterial meningitis remains a major cause of death and long-term neurologic sequelae worldwide. We present a case of fatal Klebsiella pneumoniae meningitis and concomitant disseminated intravascular coagulation (DIC) in a 72-year-old woman with diabetes mellitus (DM). Both blood and cerebrospinal fluid cultures grew Klebsiella pneumoniae . Due to advanced age, newly recognized DM, K. pneumoniae bacteremia, and DIC, the prognosis of our patient was poor. Eight hours after arrival to the emergency department, cardiopulmonary resuscitation was necessary in this patient, but she died despite an early diagnosis and appropriate antibiotic therapy.
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