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Pyogenic liver abscess (PLA) is a potentially fatal disease.  Klebsiella pneumoniae  ( K. pneumoniae ) has replaced  Escherichia coli  ( E. coli ) as the predominant causative organism for pyogenic liver abscess. Over the years a unique form of community-acquired invasive  K. pneumoniae  infection of the liver has been well described in Southeast Asia. This has recently been linked to a virulent hypermucoviscous  K. pneumoniae  phenotype and to a specific genotype,  rmpA  positive. To our knowledge, we report the first case of PLA with bacteremia and meningitis in a Guyanese patient with the presence of  rmpA -positive  K. pneumoniae  with laboratory evidence in North America.

case reports in infectious diseases

Pyogenic Liver Abscess, Bacteremia, and Meningitis with Hypermucoviscous<i>Klebsiella pneumoniae</i>: An Unusual Case Report in a Human T-Cell Lymphotropic Virus Positive Patient of Caribbean Origin in the United States

Pyogenic Liver Abscess, Bacteremia, and Meningitis with HypermucoviscousKlebsiella pneumoniae: An Unusual Case Report in a Human T-Cell Lymphotropic Virus Positive Patient of Caribbean Origin in the United States