Journal of Emergencies, Trauma, and Shock
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INTERDISCIPLINARY CASES
Year : 2009  |  Volume : 2  |  Issue : 2  |  Page : 135-136

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


1 Department of Emergency Medicine, Far Eastern Memorial Hospital, Taipei, Taiwan
2 Department of Internal Medicine, Far Eastern Memorial Hospital, Taipei, Taiwan

Correspondence Address:
Min-Po Ho
Department of Emergency Medicine, Far Eastern Memorial Hospital, Taipei
Taiwan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2700.50751

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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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