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KMID : 0980720110300020254
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Keimyung Medical Journal
2011 Volume.30 No. 2 p.254 ~ p.259
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A Case of Metastatic Liver Abscess and Brain Abscess Due to Klebsiella pneumoniae Pneumonia
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Pyo Jin-Sil
Lee Tae-Hee
Jung In-Bum
Lim Seong-Min
Ryu Ki-Hyun
Huh Kyu-Chan
Kang Young-Woo
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Abstract
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Klebsiella pneumoniae is a common pathogen of community acquired pneumonia and commonly isolated in hospital aquired urinary tract infection, septicemia, pneumonia, intra-abdominal infections. Klebsiella pneumoniae infections tend to develop bacteremia and metastatic infection at other sites through the blood stream. Metastatic infections at other sites, such as endophthalmitis, suppurative meningitis, brain abscess, necrotizing fasciitis, and osteomyelitis usually have poor prognosis and remain permanent impairments. Thus, It is emphasized the importance of early and appropriate antibiotics treatment. A 62-year-old man with fever, dyspnea was admitted. We treated community acquired pneumonia and blood culture revealed the pathogen was K. pneumoniae. Despite daily parenteral injection of antibiotics, he complained severe headache and abdominal pain. Computed tomography of abdomen and brain showed metastatic liver abscess and brain abscess. We successfully treated the patient with antibiotics therapy. We report here a K. pneumoniae infection initially manifestating pneumonia and developed metastatic liver and brain abscess that were treated successfully.
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KEYWORD
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Brain abscess, Klebsiella pneumonia, Liver abscess, Pneumonia
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