Invasive liver abscess syndrome predisposed by Klebsiella pneumoniae related prostate abscess in a nondiabetic patient: A case report

被引:9
作者
Liao C.-Y. [1 ,3 ]
Yang Y.-S. [2 ]
Yeh Y.-C. [1 ]
Ben R.-J. [1 ]
Lee C.-C. [1 ]
Tsai C.-C. [1 ]
Wang C.-Y. [1 ]
Kuo W.-H. [1 ]
Wang C.-C. [1 ,3 ]
机构
[1] Department of Medicine, Kaohsiung Armed Forces General Hospital, No.2, Zhongzheng 1st Road, Lingya District, Kaohsiung
[2] Department of Infection, Tri-Service General Hospital, No.325, Sec. 2, Chenggong Road, Neihu District, Taipei
[3] Department of Nephrology, Tri-Service General Hospital, No.325, Sec. 2, Chenggong Road, Neihu District, Taipei
关键词
Invasive liver abscess syndrome; Klebsiella pneumoniae; Prostate abscess;
D O I
10.1186/s13104-016-2188-y
中图分类号
学科分类号
摘要
Background: Prostate abscess is usually a complication of acute urinary tract infection. Invasive liver abscess syndrome is characterized with Klebsiella pneumoniae related multiple organ metastasis. Concomitant pyogenic liver abscess and prostate abscess have rarely been reported. Recurrent episode of liver abscess is even rarer. Case presentation: We report a 71-year-old male with acute bacterial prostate abscess and urinary tract infection caused by K. pneumoniae associated with multiple liver abscess, psoas muscle abscess and osteomyelitis. Blood culture and urine culture yielded K. pneumoniae, which confirmed the diagnosis of invasive liver abscess syndrome caused by K. pneumoniae. The patient was successfully treated with empirical antibiotics for 6 weeks. Conclusions: This case emphasizes the importance of timely and accurate diagnosis followed by appropriate treatment in disseminated K. pneumoniae infection to prevent significant morbidity and mortality. © 2016 The Author(s).
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