Clinical analysis of three cases of liver abscess invasion syndrome caused by Klebsiella pneumoniae infection
LI Chunna1,2, HU Yuekai1, SHAO Lingyun1, HUANG Yuxian1, ZHANG Wenhong1, WENG Xinhua1, JIN Jialin1
1. Department of Infectious Diseases, Huashan Hospital of Fudan University, Shanghai 200040, China;2. Department of Infectious Diseases, The Fifth Affiliated Hospital of Sun Yat-sen University, Guangzhou 519000, China
Abstract:To improve the understanding of the clinical manifestations and dangers of liver abscess invasive syndrome caused by Klebsiella pneumoniae (K. pneumoniae) infection, the clinical courses, including treatment and outcomes of three cases were retrospectively analyzed. All infections were community-acquired. Their clinical manifestations and blood culture test results were in line with the clinical features of liver abscess invasive syndrome caused by K. pneumoniae infection. All had liver abscesses; two cases had complications with endophthalmitis leading to blindness; one patient was complicated with lumbar and abdominal aortic infection and infectious endocarditis. Two patients had diabetes history, and one patient was normal immunocompetent. The liver abscess invasive syndrome caused by K. pneumoniae infection should get more clinical attentions because it is hard to treat and may cause serious clinical dangers, not only liver abscess but also extrahepatic disseminated lesions. It is detected not only in diabetic and immunodeficient populations but also in the normal immunocompetent population.
李春娜1,2,胡越凯1,邵凌云1,黄玉仙1,张文宏1,翁心华1,金嘉琳1. 肺炎克雷伯菌致肝脓肿侵袭综合征3例临床分析及文献复习[J]. 微生物与感染, 2016, 11(4): 247-251.
LI Chunna1,2, HU Yuekai1, SHAO Lingyun1, HUANG Yuxian1, ZHANG Wenhong1, WENG Xinhua1, JIN Jialin1.. Clinical analysis of three cases of liver abscess invasion syndrome caused by Klebsiella pneumoniae infection. JOURNAL OF MICROBES AND INFECTIONS, 2016, 11(4): 247-251.