Open AccessEmphysematous Liver Abscess and Disseminated Hypervirulent Klebsiella pneumoniae Infection in a Patient from Southern India
Author(s) -
Amiya R Nayak,
Ramadoss Ramu,
Venkateswaran Ramesh,
Niveditha K Honnarudraiah
Publication year - 2022
Publication title -
indian journal of critical care medicine/indian journal of critical care medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.317
H-Index - 30
eISSN - 1998-359X
pISSN - 0972-5229
DOI - 10.5005/jp-journals-10071-24131
Subject(s) - medicine , klebsiella pneumoniae , liver abscess , pyogenic liver abscess , complication , abscess , meningitis , diabetes mellitus , klebsiella pneumonia , peritonitis , klebsiella , surgery , pseudomonas aeruginosa , bacteria , biochemistry , chemistry , genetics , escherichia coli , biology , gene , endocrinology
The pyogenic liver abscess is usually polymicrobial and is seen as a complication of biliary disease or peritonitis. Over the past three decades, monomicrobial liver abscess caused by Klebsiella pneumoniae is being increasingly reported from South East Asian countries like Taiwan and Korea. It is a community-acquired infection caused by a distinct strain, hypervirulent K. pneumoniae , different from classical strain related to the healthcare-associated Klebsiella infections. Diabetes mellitus is a significant risk factor. Reports of the disseminated infection due to hypervirulent Klebsiella are very few in Indian literature. We report the successful management of a diabetic patient with emphysematous liver abscess, brain abscess, and meningitis caused by hypervirulent K. pneumoniae infection.