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KMID : 0614620150660040237
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Korean Journal of Gastroenterology
2015 Volume.66 No. 4 p.237 ~ p.241
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A Case of Delayed-onset Multiple Metastatic Infection following Liver Abscess
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이강훈:Lee Kang-Hoon
문선영:Moon Sun-Young/김인애:Kim In-Ae/권소영:Kwon So-Young/김정한:Kim Jeong-Han/최원혁:Choe Won-Hyeok/권용원:Kwon Yong-Wonn
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Abstract
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Klebsiella pneumoniae liver abscess has a tendency to spread to distant sites early in the course of disease and to involve multiple organs synchronously. A 59-year-old male was admitted because of liver abscess accompanied by fever and abdominal pain. The patient underwent percutaneous catheter drainage and received intravenous antibiotics. Symptom relief was achieved after the treatment as well as marked reduction in the size of the abscess. Despite proper treatment of the liver abscess, however, patient developed multiple metastatic infections in a non-concurrent manner: left and right endophthalmitis, psoas abscess, and infectious spondylitis at 5, 23, 30 and 65 days after initial manifestations of liver abscess, respectively. Each infectious episode followed one another after resolution of the former one. For each episode of metastatic infections, the patient promptly underwent treatment with systemic and local antibiotics, interventional abscess drainage, and surgical treatments as needed. The patient fully recovered without sequelae after the use of intravenous antibiotics for an extended period of time. Herein, we report a case of K. pneumoniae liver abscess complicated with delayed-onset multiple metastatic infections.
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KEYWORD
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Liver abscess, Pyogenic, Endophthalmitis, Psoas abscess, Spondylitis, Klebsiella pneumoniae
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