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KMID : 0984720030350030170
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Infection and Chemotherapy
2003 Volume.35 No. 3 p.170 ~ p.173
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A Case of Klebsiella pneumoniae Parotitis with Bacterimia
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Kim Ja Young
Lee Sang-Oh
Choi Sang-Ho
Kim Nam-Joong
Choi Seung-Ho
Woo Jun-Hee
Kim Yang-Soo
Ryu Ji-So
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Abstract
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Acute bacterial parotitis is primary a diseas of the aged and clinically ill patients. Dehydration, dry mouth resulting from surgery or medication use, sialolithiasis, melnutrition and systemic illness are prominent predisposing factors. Staphylococcus aureus is the most common pathogen associated with acute bacterial parotitis. However, streptococci, gram-negative bacteria, and anaerobes have also been reported to be associated with the disease. Nevertheless, acute parotitis caused by Klebsiella pneumoniae has never been earlier reported in Korea. We describe a case of acute parotitis which developed in a 73 year-old women with K. pneumoniae bacteremia. In this case, the patient initially received supportive care. Oral amoxicillin/clavulanic acid were initiated because the painful swelling of the left parotid gland, and overlying erythema wa aggravaed and pus from Stensen´s duct was drained. She complined of fever in spite of oral amoxicillin/claulanic acid administration for 4 days. Then, the antibiotics were switched to intravenous ampicillin/subactam, and the patient recovered fully after 2 weeks of intravenous antibiotics therapy.
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KEYWORD
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klebsiella pneumoniae, parotitis, bacteremia
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