Korean J Crit Care Med.  2013 Feb;28(1):41-45. 10.4266/kjccm.2013.28.1.41.

Endocarditis Caused by Community-Acquired Klebsiella pneumoniae Infection - A Case Report -

• Hwang JA
• Her C
• Kim YW

• KMID: 2227909
• DOI: http://doi.org/10.4266/kjccm.2013.28.1.41

Abstract

In community-acquired Klebsiella pneumoniae infection, pyogenic liver abscess is common as a primary site of infection, particularly in Asia, that can progress to bacteremia. Diabetes mellitus is a usual predisposing factor. Pneumonia as primary site of infection by community-acquired Klebsiella pneumoniae infection is not common but carries a poor outcome. Early administration of appropriate antibiotics is extremely important to avoid the development of bacteremia and septicemia. An infective endocarditis caused by community-acquired Klebsiella pneumoniae infection is very rare; particularly, such a case of endocarditis in which pneumonia was the primary site of infection has never been reported previously. In this report we described a case of community-acquired Klebsiella pneumoniae infection that started with pneumonia and progressed to bacteremia, leading to endocarditis, liver abscess, and other systemic septic complications. Delayed administration of appropriate antibiotics may have played a role in this case.

Keyword

abscess; antibiotics; bacteremia; septic shock

MeSH Terms

Abscess
Anti-Bacterial Agents
Asia
Bacteremia
Diabetes Mellitus
Endocarditis
Klebsiella
Klebsiella pneumoniae
Liver Abscess
Liver Abscess, Pyogenic
Pneumonia
Sepsis
Shock, Septic
Anti-Bacterial Agents