Septic Metastatic Lesions Associated with Klebsiella pneumoniae Liver Abscess / 감염과화학요법
Infection and Chemotherapy
; : 95-100, 2006.
Article
em Ko
| WPRIM
| ID: wpr-721989
Biblioteca responsável:
WPRO
ABSTRACT
Pyogenic liver abscess is a serious clinical disease with severe complication in about 10-20% of cases. Metastatic septic endophthalmitis and CNS infection are rare but their incidence is increasing in liver abscess patients, especially Klebsiella pneumoniae as etiologic bacteria. Despite appropriate treatment, the outcome is devastating. We experienced a case of septic endophthalmitis, CNS infection (meninigitis, ventriculitis) and infective spondylitis associated with K. pneumoniae liver abscess. The patient had no specific risk factor. After intensive treatement such as systemic intravenous antibiotics with percutaneous abscess drainage and intravitreal injection, liver abscess was resolved completely. But, sequelae were severe. Socket reconstruction after evisceration with debridement on both eye and ventriculo-peritoneal shunt due to hydrocephalus were done. Our experience suggests that attention should be paid to the possibility of septic metastatic lesions as soon as the treatment of K. pneumoniae liver abscess is initiated.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Pneumonia
/
Espondilite
/
Bactérias
/
Drenagem
/
Endoftalmite
/
Incidência
/
Fatores de Risco
/
Derivação Ventriculoperitoneal
/
Desbridamento
/
Abscesso Hepático Piogênico
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
Ko
Revista:
Infection and Chemotherapy
Ano de publicação:
2006
Tipo de documento:
Article