Kosin Med J.  2020 Jun;35(1):69-75. 10.7180/kmj.2020.35.1.69.

Klebsiella pneumoniae-induced Liver Abscess Complicated with Septic Pulmonary Embolism in a Non-diabetic Adult

• Lim BH
• Lee SI

• KMID: 2503732
• DOI: http://doi.org/10.7180/kmj.2020.35.1.69

Abstract

A 72-year-old non-diabetic man was admitted to the intensive care unit because of liver abscess, cholecystitis, and septic shock. He underwent percutaneous catheter drainage and received intravenous antibiotics. Shock was improved, and the patient’s fever subsided. Klebsiella pneumoniae was isolated in blood and bile cultures. However, he suddenly developed dyspnea and oxygen desaturation. Chest computed tomography scan revealed multifocal ground-glass opacities with consolidation with peripheral preponderance. Appropriate antibiotic therapy was provided for 2 weeks. The patient recovered fully, and cholecystectomy was then performed. Herein, we report a case of K. pneumoniae-induced liver abscess complicated with septic pulmonary embolism in a non-diabetic patient.

Keyword

Klebsiella pneumonia; Liver abscess; Pneumonia

Figure

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  Fig. 1 Initial chest radiography revealed subtle linear opacity in both lower lung fields.

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  Fig. 2 Abdominal computed tomography scan revealed a 4.5-cm liver abscess in segment 4 of the liver (A) and a dilatated gallbladder with diffuse inflammatory thickening (B).

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  Fig. 3 Chest computed tomography scan revealed multifocal ground-glass opacities with consolidation in both upper lung fields (A), the right middle lung (B), and the lingular segment of the left upper lung with peripheral preponderance (C).

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