Klebsiella pneumoniae Multi-organ Infection not Accompanied by Liver Abscess : Report of 2 Cases

Jong Goo Seo; Jae Chan Park; Hong Dae Ahn; Seo Young Lee; Jin Yong Kim; Yoon Soo Park; Yong Kyun Cho

doi:10.3947/ic.2008.40.6.346

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Seo, Park, Ahn, Lee, Kim, Park, and Cho: Klebsiella pneumoniae Multi-organ Infection not Accompanied by Liver Abscess : Report of 2 Cases

Case Report

Infection and Chemotherapy

Infection and Chemotherapy 2008; 40(6): 346-349.

Published online: 31 December 2008

DOI: https://doi.org/10.3947/ic.2008.40.6.346

Klebsiella pneumoniae Multi-organ Infection not Accompanied by Liver Abscess : Report of 2 Cases

Jong Goo Seo, M.D., Jae Chan Park, M.D., Hong Dae Ahn, M.D., Seo Young Lee, M.D., Jin Yong Kim, M.D., Yoon Soo Park, M.D., Yong Kyun Cho, M.D.

Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea.

Correspondence: Yoon Soo Park, M.D. Department of Internal Medicine, Gachon University Gil Medical Center, 1198 Guwol-dong, Namdong-gu, Incheon 405-760, Korea. Tel: +82-32-460-8431, Fax: +82-32-472-1578, yspark@gilhospital.com

Received 14 July 2008 Accepted 6 August 2008

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Klebsiella pneumoniae is a pathogen that causes a wide range of infections in human, and has a tendency to metastasize to multiple organs. We report two rare cases of K. pneumoniae infection that have spread to multiple organs without being accompanied by liver abscess. A 59-year-old man (case 1) was admitted due to left knee pain. Microbiologic and radiologic studies revealed bacteremia, septic arthritis, pneumonia, prostatitis, and endophthalmitis caused by K. pneumoniae. A 48-year-old man (case 2) was admitted due to febrile sensation. Microbiologic and radiologic studies revealed bacteremia, pneumonia, urinary tract infection, endophthalmitis, and cerebritis caused by K. pneumoniae. With appropriate use of effective antibiotics and therapeutic measures, the patients recovered but with some sequelae.

Keywords: Klebsiella pneumoniae, Metastatic infection

Figures and Tables

Figure 1

(A) Bilateral pneumonia with pleural effusion in case 1. (B) Fluid collection, synovial thickening and enhancement on left knee joint in case 1.

Figure 2

(A) Pneumonia on both lungs in case 2. (B) Multiple encephalitis in case 2.

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