• Users Online: 835
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 


 
 Table of Contents  
CHEST IMAGE
Year : 2017  |  Volume : 5  |  Issue : 2  |  Page : 89-90

Klebsiella pneumoniae liver abscess with metastatic spread to lung


Department of General Medicine, M.E.S. Medical College, Perinthalmanna, Kerala, India

Date of Web Publication4-Jul-2017

Correspondence Address:
Mansoor C Abdulla
Department of General Medicine, M.E.S. Medical college, Perinthalmanna, Kerala - 679 338
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2320-8775.202901

Rights and Permissions

How to cite this article:
Abdulla MC. Klebsiella pneumoniae liver abscess with metastatic spread to lung. J Assoc Chest Physicians 2017;5:89-90

How to cite this URL:
Abdulla MC. Klebsiella pneumoniae liver abscess with metastatic spread to lung. J Assoc Chest Physicians [serial online] 2017 [cited 2019 Oct 20];5:89-90. Available from: http://www.jacpjournal.org/text.asp?2017/5/2/89/202901

A 45-year-old male was admitted with high-grade fever and nonbilious vomiting for 8 days. He had type 2 diabetes mellitus since 10 years. Examination showed icterus and mild tender hepatomegaly. Investigations showed neutrophilic leucocytosis, high fasting plasma glucose level, and deranged liver function tests. Chest radiograph was normal. Computed tomographic scan with contrast of the abdomen and thorax showed focal lesion in segments VI and VII of the right lobe liver and multiple nodules in both lungs with heterogeneous enhancement [Figure 1]. Cultures of blood and aspirates from liver grew Klebsiella pneumoniae. The patient was treated with antibiotics (piperacillin, tazobactam, and ciprofloxacin) and continuous drainage of liver abscess with which he improved.
Figure 1: Computed tomographic scan with contrast of the abdomen and thorax showing focal lesion in segments VI and VII of the right lobe liver (1a) and multiple nodules in both lungs with heterogeneous enhancement (1b)

Click here to view


Highly virulent strains of Klebsiella pneumoniae had emerged as a predominant cause of liver abscess in Asian countries.[1] Klebsiella liver abscess was also associated with a higher likelihood of hematogenous spread and the potential for metastatic infection in other parts of the body. Eyes, meninges, central nervous system (CNS), and lungs are the most common metastatic sites.[2] The incidence rate of metastatic infection ranges from 10 to 45%, especially in patients with diabetes mellitus. The mortality rate of patients with metastatic infections is significantly higher than that without metastatic infections (16–17% versus 0–1.1%) in various studies.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

 
  References Top

1.
Chan DS, Archuleta S, Llorin RM, Lye DC, Fisher D. Standardized outpatient management of Klebsiella pneumonia liver abscesses. Int J Infect Dis 2013;17:e185-8.  Back to cited text no. 1
[PUBMED]    
2.
Sobirk SK, Struve C, Jacobsson SG. Primary Klebsiella pneumoniae liver abscess with metastatic spread to lung and eye, a North-European case report of an emerging syndrome. Open Microbiol J 2010;4:5-7.  Back to cited text no. 2
[PUBMED]    


    Figures

  [Figure 1]



 

Top
 
 
  Search
 
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
Access Statistics
Email Alert *
Add to My List *
* Registration required (free)

 
  In this article
References
Article Figures

 Article Access Statistics
    Viewed958    
    Printed40    
    Emailed0    
    PDF Downloaded125    
    Comments [Add]    

Recommend this journal


[TAG2]
[TAG3]
[TAG4]