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Clin Med (Lond) ; 24(2): 100036, 2024 Mar.
Article En | MEDLINE | ID: mdl-38588916

A 76-year-old Malay female presented with 2 days history of fever and vomiting. She was found to have Escherichia coli and Klebsiella pneumoniae bacteraemia with no clear intra-abdominal cause on the initial computed tomography of the abdomen and pelvis (CTAP). She clinically improved with 2 weeks duration of intravenous meropenem. She subsequently developed septic shock and a repeated CTAP demonstrated increased hepatic parenchymal density with extensive parenchymal calcifications. Curvilinear calcifications were seen in the paraspinal and pelvic musculature.


Calcinosis , Humans , Female , Aged , Calcinosis/diagnostic imaging , Sepsis/microbiology , Tomography, X-Ray Computed , Liver Diseases/diagnostic imaging , Klebsiella pneumoniae/isolation & purification , Klebsiella Infections/diagnosis , Klebsiella Infections/complications , Klebsiella Infections/drug therapy , Escherichia coli Infections/complications , Escherichia coli Infections/diagnosis , Escherichia coli Infections/drug therapy , Muscular Diseases/diagnostic imaging , Anti-Bacterial Agents/therapeutic use , Meropenem/therapeutic use , Meropenem/administration & dosage
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