Abstract
Two thalassemia major patients received regular blood transfusion and desferrioxamine chelation, and 1 patient had a splenectomy at 9 years of age. Both patients developed Klebsiella pneumoniae meningitis at age of 27 and 15 years. They died within a short time despite appropriate antibiotic treatment. Klebsiella meningitis may be more common in transfusion-dependent thalassemia patients.
MeSH terms
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Adolescent
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Adult
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Blood Transfusion
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Cefotaxime / therapeutic use
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Ceftazidime / therapeutic use
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Cefuroxime / therapeutic use
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Cephalosporins / therapeutic use*
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Deferoxamine / therapeutic use
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Fatal Outcome
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Humans
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Klebsiella Infections / complications
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Klebsiella Infections / diagnosis
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Klebsiella Infections / drug therapy*
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Klebsiella pneumoniae / isolation & purification*
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Male
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Meningitis, Bacterial / complications
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Meningitis, Bacterial / diagnosis
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Meningitis, Bacterial / drug therapy*
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Splenectomy
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beta-Thalassemia / complications*
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beta-Thalassemia / therapy
Substances
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Cephalosporins
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Ceftazidime
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Deferoxamine
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Cefotaxime
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Cefuroxime