A mini case report: Klebsiella pneumoniae-induced metastatic neck abscess following laparoscopic appendectomy

被引:0
作者
Jin, Cancan [1 ]
Hu, Jiangnan [2 ,3 ]
Wang, Linshu [4 ]
Hu, Sizhe [1 ]
Wang, Kangyi [1 ]
Fu, Liangbin [1 ]
Zhao, Xiaokang [1 ]
Qian, Feng [1 ]
Shentu, Hui [1 ]
机构
[1] Wenzhou Med Univ, Affiliated Dongyang Hosp, Dept Oncol, Dongyang 322100, Peoples R China
[2] Stanford Univ, Dept Surg, Stanford, CA 94305 USA
[3] Stanford Univ, Stanford Canc Inst, Stanford, CA 94305 USA
[4] Stanford Univ, Dept Neurosurg, Stanford, CA 94305 USA
关键词
Laparoscopic appendectomy; Klebsiella pneumoniae; Metastatic abscess; LIVER-ABSCESS; APPENDICITIS;
D O I
10.1016/j.heliyon.2024.e31062
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Common complications following laparoscopic appendectomy include wound infection, bleeding, intra-abdominal abscess, small bowel obstruction, stump leakage, and stump appendicitis. Here, we presented a case reporting detailing a rare complication following laparoscopic appendectomy: the development of a metastatic neck abscess induced by Klebsiella pneumoniae(K. pneumoniae) . A 49 -year -old male underwent emergency laparoscopic surgery with prophylactic antibiotic administration for acute appendicitis. Subsequently, he experienced persistent neck pain and fever postoperatively, prompting further investigation. Pus and blood cultures revealed K. pneumoniae , with magnetic resonance imaging confirming the presence of a neck abscess. Antibiotic therapy was adjusted, and surgical drainage of the abscess was performed after multidisciplinary consultation. The patient was discharged without complications. While rare, metastatic abscesses following appendectomy warrant consideration, particularly in K. pneumoniae infections. Comprehensive clinical assessment, imaging, and laboratory evaluation are crucial for timely diagnosis and management of such complications.
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页数:8
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