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KMID : 0984720080400060341
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Infection and Chemotherapy
2008 Volume.40 No. 6 p.341 ~ p.345
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A Case of Klebsiella pneumoniae Liver Abscess Which Progressed to Pyomyositis and Infected Aneurysm of Aorta
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Kim Joo-Hyoung
Back Su-Young
Pai Hyun-Joo
Koo Tai-Yeon
Kim Ji-Eun
Jung Kyoung-Hee
Kim Hyun-Chul
Lee Kyeong-A
Kim Hye-Young
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Abstract
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Klebsiella pneumoniae causes pyogenic infections in various sites, with the risk of which increases in patients with diabetes mellitus. Recently, K. pneumoniae has emerged as a leading cause of pyogenic liver abscess. Primary liver abscess caused by K. pneumoniae in the absence of underlying hepatobiliary disease is commonly associated with metastatic infections such as endophthalmitis, meningitis, brain abscess and infection in other sites. We experienced a case of K. pneumoniae liver abscess associated with septic metastatic lesions including pyomyositis and infected aneurysm of aorta. Despite the aggressive management with antibiotics, surgical pus drainage and aortic bypass graft, patient died of ventilator associated pneumonia and multiorgan failure. Our experience suggests that clinicians should be alert to septic metastatic infections when they treat a patient with K. pneumoniae liver abscess.
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KEYWORD
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Klebsiella pneumoniae, Liver abscess, Pyomyositis, Aortic aneurysm, Diabetes mellitus
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