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KMID : 0604020130280010041
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Korean Journal of Critical Care Medicine
2013 Volume.28 No. 1 p.41 ~ p.45
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Endocarditis Caused by Community-Acquired Klebsiella pneumoniae Infection - A Case Report -
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Hwang Ji-Ae
Her Charles
Kim Yang-Wook
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Abstract
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In community-acquired Klebsiella pneumoniae infection, pyogenic liver abscess is common as a primary site of infection, particularly in Asia, that can progress to bacteremia. Diabetes mellitus is a usual predisposing factor. Pneumonia as primary site of infection by community-acquired Klebsiella pneumoniae infection is not common but carries a poor outcome. Early administration of appropriate antibiotics is extremely important to avoid the development of bacteremia and septicemia. An infective endocarditis caused by community-acquired Klebsiella pneumoniae infection is very rare; particularly, such a case of endocarditis in which pneumonia was the primary site of infection has never been reported previously. In this report we described a case of community-acquired Klebsiella pneumoniae infection that started with pneumonia and progressed to bacteremia, leading to endocarditis, liver abscess, and other systemic septic complications. Delayed administration of appropriate antibiotics may have played a role in this case.
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KEYWORD
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abscess, antibiotics, bacteremia, septic shock
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