title: Klebsiella meningitis mimicking clinical deterioration from hemorrhage of a complex posterior fossa arteriovenous malformation.
abstract: We report a case of a 33-year-old male with a history of complex posterior fossa arteriovenous malformation (AVM) with partial resection done in China; at follow-up in our unit, he presented with a 1-day history of acute deterioration of consciousness level after minor head injury. The clinical and radiologic features were compatible with spontaneous hemorrhage from the AVM, and the patient died 1 day after admission. However, postmortem examination revealed the direct cause of death was due to Klebsiella meningitis. The clinical catch is highlighted, and the importance of early and prompt detection of this condition is emphasized.
authors.affiliation: Division of Neurosurgery, Department of Anatomical and Cellular Pathology, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong.
authors.forename: George K C
authors.initials: GK
authors.lastname: Wong
authors.forename: C L
authors.initials: CL
authors.lastname: Chiang
authors.forename: K F
authors.initials: KF
authors.lastname: To
authors.forename: H K
authors.initials: HK
authors.lastname: Ng
authors.forename: S C
authors.initials: SC
authors.lastname: Ching
authors.forename: W S
authors.initials: WS
authors.lastname: Poon
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D049429:Forensic Pathology; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000150:complications*; D007710:Klebsiella Infections / Q000175:diagnosis*; D008297:Male; D016920:Meningitis, Bacterial / Q000175:diagnosis*; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis*