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KMID : 1130320130560090407
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Korean Journal of Pediatrics
2013 Volume.56 No. 9 p.407 ~ p.410
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Klebsiella pneumoniae liver abscess in an immunocompetent child
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Kwon Jang-Mi
Jung Hye-Lim
Shim Jae-Won
Kim Deok-Soo
Shim Jung-Yeon
Park Moon-Soo
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Abstract
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Klebsiella pneumoniae has emerged as a leading pathogen for pyogenic liver abscess (PLA) in Korea. K. pneumoniae liver abscess (KLA) is a potentially life-threatening disease and the diagnosis is challenging. In developed countries, PLA in children is rare and frequently associated with disorders of granulocyte function and previous abdominal infection. We experienced a case of KLA in a healthy 12-year-old boy. To our knowledge, this is the first reported case of KLA in an immunocompetent child without underlying disease in Korea. The patient was treated with percutaneous catheter drainage and antibiotics. The catheter placed in intrahepatic abscess was left for 3 weeks and parenteral antibiotics (ceftriaxone and amikacin) were administered for 4 weeks, followed by oral antibiotics (cefixime) for 2 weeks. We reported this case to raise awareness of KLA in immunocompetent children among physicians, and to review the diagnosis, risk factors, potential complications and the appropriate treatment of KLA.
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KEYWORD
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Klebsiella pneumonia, Liver abscess, Immunocompetent, Children
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