Abstract
Introduction. Klebsiella pneumoniae is a well-known cause of liver abscess. Higher rates of liver abscess associated with Klebsiella pneumoniae are seen in Taiwan. Metastatic endophthalmitis is a common complication associated with a poor prognosis despite aggressive therapy. Case Report. We report a case of a 67-year-old Korean female with Klebsiella pneumoniae liver abscess. The patient developed metastatic endophthalmitis and ultimately succumbed to her disease despite aggressive medical and surgical treatment. Conclusion. Dissemination of Klebsiella pneumoniae is associated with significant morbidity and mortality. Liver abscesses preferably should be treated with percutaneous drainage, but surgical treatment is needed in some cases. Metastatic spread to the eye is a common complication that must be treated aggressively with intravenous antibiotics and surgical intervention if necessary.
Highlights
Klebsiella pneumoniae is a well-known cause of liver abscess
Klebsiella pneumoniae has been implicated as a common cause of infection in the human body
Computed tomography (CT) scan of the abdomen showed a large hepatic abscess noted in the right lobe of the liver (Figure 1)
Summary
Klebsiella pneumoniae has been implicated as a common cause of infection in the human body. There is significant mortality and morbidity associated with this organism This patient was a 67-year-old previously healthy Korean female with no significant past medical or surgical history, who presented with a 7-day history of progressively worsening abdominal pain. She had recently come to America from South Korea to stay with her daughter about 13 months ago. Computed tomography (CT) scan of the abdomen showed a large hepatic abscess noted in the right lobe of the liver (Figure 1). Infectious Disease services were consulted to assist in the patient’s management Her antibiotic course was later changed to imipenem, vancomycin, and fluconazole due to the development of microbial resistance. Despite aggressive medical and surgical efforts, the patient eventually succumbed to multiorgan system failure from septic shock on postoperative day 45
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