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Community‐acquired Klebsiella pneumoniae liver abscesses — an “emerging disease” in Australia
Author(s) -
Kanhutu Kudzai N,
Post Jeffrey J,
Clezy Kate R,
Foo Hong Y L
Publication year - 2011
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.2011.tb03017.x
Subject(s) - klebsiella pneumoniae , medicine , klebsiella infections , klebsiella , liver abscess , microbiology and biotechnology , abscess , biology , surgery , escherichia coli , biochemistry , gene
TO THE EDITOR: Further to the recent article by Anstey and colleagues on community-acquired Klebsiella pneumoniae liver abscesses, we report two similar cases at our hospital in late 2010. Case 1: A 55-year-old Indonesian-born man was referred from general practice in October 2010 with a 5-day history of fever and progressive epigastric pain. He did not have diabetes, but did have dyslipidaemia. He had migrated from Indonesia in the 1980s; his most recent visit to Indonesia was in January 2010, for 3 weeks. As he had mildly deranged liver function test results, he was investigated with abdominal ultrasound and computed tomography (CT). Both showed a large multiseptate collection in the left lobe of the liver (Box, A). The liver collection was drained under radiological guidance, yielding a pure growth of K. pneumoniae. Urine culture was also positive for an identical isolate of K. pneumoniae. This man had a rapid clinical response to percutaneous drainage and was discharged on oral ciprofloxacin therapy.