Klebsiella pneumoniae Invasive Syndrome

  • Vasco Evangelista Department of Medicine, Hospital Beatriz Ângelo, Loures, Portugal
  • Cristiana V. Gonçalves Department of Medicine, Hospital Beatriz Ângelo, Loures, Portugal
  • Raquel Almeida Department of Medicine, Hospital Beatriz Ângelo, Loures, Portugal
  • Célia Henriques Department of Medicine, Hospital Beatriz Ângelo, Loures, Portugal
  • António Martins Baptista Department of Medicine, Hospital Beatriz Ângelo, Loures, Portugal
  • José Pimenta da Graça Department of Medicine, Hospital Beatriz Ângelo, Loures, Portugal
  • José Lomelino Araújo Department of Medicine, Hospital Beatriz Ângelo, Loures, Portugal

Keywords

Klebsiella pneumoniae, invasive syndrome, liver abscess

Abstract

Klebsiella pneumoniae invasive syndrome (KPIS) is a rare clinical condition characterized by primary liver abscess associated with metastatic infection. Most case reports are from Southeast Asia, with only one case described in Portugal. The Authors present the case of a 44-year-old man with a history of fever, dry cough and cervicalgia. A thoracic computed tomography (CT) scan showed multiple pulmonary and hepatic nodules, suggestive of metastatic malignancy. Both blood cultures and bronchoalveolar lavage were positive for Klebsiella pneumoniae. Imaging studies were repeated during his hospital stay, showing a reduction in both number and volume of identified lesions, thus revealing their infectious nature. This case illustrates how much this entity can mimic other illnesses.

VIEW THE ENTIRE ARTICLE

References

  • Liu YC, Cheng DL, Lin CL. Klebsiella pneumoniae liver abscess associated with septic endophthalmitis. Arch Intern Med 1986;146:1913-16.

  • Chang FY, Chou MY, Fan RL, Shaio MF. A clinical study of Klebsiella liver abscess. Taiwan Yi Xue Hui Za Zhi 1988;87:282-87.

  • Wang JH, Liu YC, Lee SS, Yen MY, Chen YS, Wang JH, et al. Primary liver abscess due to Klebsiella pneumoniae in Taiwan. Clin Infect Dis 1998;26:1434-8.

  • Siu LK, Yeh KM, Lin JC, Fung CP, Chang FY. Klebsiella pneumoniae liver abscess: a new invasive syndrome. Lancet Infect Dis 2012;12:881-87.

  • Moore R, O’Shea D, Geoghegan T, Mallon PW, Sheehan G. Community-acquired Klebsiella pneumoniae liver abscess: an emerging infection in Ireland and Europe. Infection 2013;41:681-86.
  • Published: 2018-01-26

    Issue: Vol. 5 No. 3 (view)

    Section: Articles

    How to cite:
    1.
    Evangelista V, Gonçalves CV, Almeida R, Henriques C, Baptista AM, da Graça JP, Araújo JL. Klebsiella pneumoniae Invasive Syndrome. EJCRIM 2018;5 doi:10.12890/2018_000800.

    Similar Articles

    You may also start an advanced similarity search for this article.

    Most read articles by the same author(s)