Korean J Infect Dis.  1998 Dec;30(6):575-578.

A Case of Liver Abscess Due to Klebsiella pneumoniae Complicated with Bacteremia, Endophthalmitis and Prostatic Abscess

• Nah HY
• Hwang SJ
• Suh HJ

Abstract

Metastatic infections were rare complications of Klebsiella p neumoniae liver abscess and bacteremia. However, over the past 15 years, they have become prevalent infectious complications in diabetic patients in Taiwan. A 72-year old man was admitted to Kyung-Hee University Hospital with fever, chill, dysuria, and frequency. On rectal examination the prostate gland was tender. Abdominal sonogram showed liver abscess. On hospital day 3, orbital pain, eyelid edema, conjunctival chemosis, hypopyon, and absence of light perception were noted in the right eye. K. pneumoniae was isolated from blood culture. The antimicrobial susceptibility test showed susceptibility to all antibiotics, except ampicillin. He was treated with ceftriaxone and astromicin intravenously for 3 weeks and follow up-transrectal sonogram revealed formation of prostatic abcess. We report a case of K. p neumoniae liver abscess complicated with bacteremia, endophthalmitis, and prostatic abscess.

Keyword

Klebsiella pneumoniae; Liver abscess; Bacteremia; Endophthalmitis; Prostatic abscess

MeSH Terms

Abscess*
Aged
Ampicillin
Anti-Bacterial Agents
Bacteremia*
Ceftriaxone
Dysuria
Edema
Endophthalmitis*
Eyelids
Fever
Humans
Klebsiella pneumoniae*
Klebsiella*
Liver Abscess*
Liver*
Orbit
Pneumonia
Prostate
Taiwan
Ampicillin
Anti-Bacterial Agents
Ceftriaxone