心血管疾患と診断

Septicaemia Caused by Community Acquired Klebsiella pneumonia Complicated with Endocarditis and Meningoencephalitis: A Case Report

Abstract

Fane MEL, Dollo I, Sodqi M, Jebbar S, Nourredine K, Oulad Lahsen A, Chakib A, Hebba R, Filali KMEL, Marih L

Meningoencephalitis and community endocarditis caused by Klebsiella pneumonia (K. pneumonia) is uncommon, with a poor prognosis. This severity is related to the virulence of the organism. Associated fragile terrain is frequent and participates in infection prognosis. We report the first Moroccan case involving meningoencephalitis and community endocarditis K. pneumonia in adults with craniofacial trauma and chronic alcoholism history. The history and clinical data associated with imagery are in favor of a complicated meningitis endocarditis K. pneumoniae. The early management of our patient resulted in a cure without sequelae. This case illustrates the severity of community acquired K. pneumoniae infection. It also helps to emphasize the search of heart and neuromeningeal location in front of any sepsis related to this germ.