Multiple cerebral abscess caused by Klebsiella pneumonia on post tumor excision procedure

A cerebral abscess can happen due to a nearby brain infection, other rare body parts spread, head injury and surgery procedures. Intracranial Klebsiella pneumoniae infection rarely happens usually occurs in immunocompromised patients. We reported case of 50 years old immunocompetent woman with prior tumor excision that progressed abscess. The patient came the ER unconscious progressive right-side weakness, pus from previous operation scar, fever headache since few days’ pre-admission. Laboratory findings were leukocyte 13.710, neutrophil 9%, CRP 7.6, negative HIV test. contrast CT scan resulted multiloculated ring enhancement left frontal lobe lesion sized 5.8x6.9x5.0 cm perifocal oedema. Open craniotomy managed evacuate ±40cc. microbiology culture tested positive for pneumoniae. Despite proper technique administration prophylaxis antibiotics, severe requires immediate intervention still develops small group is common pathogen causing both healthy Pus drainage antibiotics improved all symptoms, including hemiparesis. This highlights importance quick right therapy.