Klebsiella Distinctive Syndrome Presenting with Muscular Abscess and Osteomyelitis

Authors

  • Nutthawut Akaranuchat Division of Plastic Surgery, Department of Surgery,Faculty of Medicine Siriraj Hospital, Mahidol University
  • Chanon Parkpinyo Division of Plastic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

Keywords:

Klebsiella distinctive syndrome, Klebsiella liver abscess syndrome, Hypervirulent Klebsiella pneumoniae, Liver abscess

Abstract

A 46-year-old man presented with progressive pain and swelling at the right side of his lower back and buttock for 3 weeks. Further investigation revealed abscesses at the right lower back and buttock, osteomyelitis of the iliac bone, and a liver abscess. The causative pathogen was confirmed to be Klebsiella pneumoniae, serotypes K1 and K2. The patient was treated with surgical drainage, percutaneous drainage, intravenous antibiotics, and diabetic control.

References

References
1. Chang FY, Chou MY, Fan RL, Shaio MF. A clinical study of Klebsiella liver abscess. Taiwan Yi Xue Hui Za Zhi 1988; 87: 282–87.
2. Chang FY, Chou MY. Comparison of pyogenic liver abscesses caused by Klebsiella pneumoniae and non-K pneumoniae pathogens. J Formos Med Assoc 1995; 94: 232–37.
3. Liu YC, Cheng DL, Lin CL. Klebsiella pneumoniae liver abscess associated with septic endophthalmitis. Arch Intern Med 1986; 146: 1913–16.
4. Chung DR, Lee SS, Lee HR, et al, and the Korean Study Group for Liver Abscess. Emerging invasive liver abscess caused by K1 serotype Klebsiella pneumoniae in Korea. J Infect 2007; 54: 578–83.
5. Kim SB, Je BK, Lee KY, Lee SH, Chung HH, Cha SH. Computed tomographic differences of pyogenic liver abscesses caused by Klebsiella pneumoniae and non-Klebsiella pneumoniae. J Comput Assist Tomogr 2007; 31: 59–65.
6. Yeh KM, Kurup A, Siu LK, et al. Capsular serotype K1 or K2, rather than magA and rmpA, is a major virulence determinant for Klebsiella pneumoniae liver abscess in Singapore and Taiwan. J Clin Microbiol 2007; 45: 466–71.
7. Yeoh KG, Yap I, Wong ST, Wee A, Guan R, Kang JY. Tropical liver abscess. Postgrad Med J 1997; 73: 89–92.
8. Wong WM, Wong BC, Hui CK, et al. Pyogenic liver abscess: retrospective analysis of 80 cases over a 10-year period. J Gastroenterol Hepatol 2002; 17: 1001–07.
9. Lok KH, Li KF, Li KK, Szeto ML. Pyogenic liver abscess: clinical profi le, microbiological characteristics, and management in a Hong Kong hospital. J Microbiol Immunol Infect 2008; 41: 483–90.
10. Chau NG, Bhatia S, Raman M. Pylephlebitis and pyogenic liver abscesses: a complication of hemorrhoidal banding. Can J Gastroenterol 2007; 21: 601–03.
vol41no3

Downloads

Published

2020-09-30

How to Cite

1.
Akaranuchat N, Parkpinyo C. Klebsiella Distinctive Syndrome Presenting with Muscular Abscess and Osteomyelitis. Thai J Surg [Internet]. 2020 Sep. 30 [cited 2024 Nov. 22];41(3):92-5. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/241887

Issue

Vol. 41 No. 3 (2020): July - September

Section

Case Reports

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.