Soonchunhyang Med Sci.  2016 Dec;22(2):189-192. 10.0000/sms.2016.22.2.189.

A Case of Sepsis Associated with Klebsiella pneumoniae Colitis in an Immunocompetent Adult

• Kim HS
• Park BB
• Jang CS
• Nho IY
• Choi JW

• KMID: 2387021
• DOI: http://doi.org/10.0000/sms.2016.22.2.189

Abstract

A 47-year-old female patient was admission for back pain after she fell down on the table. T12 compression fracture was found for spinal magnetic resonance imaging. Absolute bed rest and pain control for non-steroidal anti-inflammatory drugs and muscle relaxant were received. After 7 days, she complained febrile sense, abdominal pain, and diarrhea. Septic shock was suspected, and then use of antibiotics and proper management were performed. Computed tomography of chest and abdomen was not revealed specific finding. Blood culture showed growth of Klebsiella pneumoniae. After patients completely resolved symptoms, colonoscopy was performed that showed erosive lesions of cecum, proximal A-colon, and rectum.

Keyword

Klebsella pneumoniae; Colitis; Sepsis; Immunocompetent

MeSH Terms

Abdomen
Abdominal Pain
Adult*
Anti-Bacterial Agents
Back Pain
Bed Rest
Cecum
Colitis*
Colonoscopy
Diarrhea
Female
Fractures, Compression
Humans
Klebsiella pneumoniae*
Klebsiella*
Magnetic Resonance Imaging
Middle Aged
Rectum
Sepsis*
Shock, Septic
Thorax
Anti-Bacterial Agents