Klebsiella pneumoniae invasive liver abscess syndrome with purulent meningitis and septic shock: A case from mainland China.
World J Gastroenterol
; 22(9): 2861-6, 2016 Mar 07.
Article
de En
| MEDLINE
| ID: mdl-26973425
ABSTRACT
We present a rare case of invasive liver abscess syndrome due to Klebsiella pneumoniae (K. pneumoniae) with metastatic meningitis and septic shock. A previously healthy, 55-year-old female patient developed fever, liver abscess, septic shock, purulent meningitis and metastatic hydrocephalus. Upon admission, the clinical manifestations, laboratory and imaging examinations were compatible with a diagnosis of K. pneumoniae primary liver abscess. Her distal metastasis infection involved meningitis and hydrocephalus, which could flare abruptly and be life threatening. Even with early adequate drainage and antibiotic therapy, the patient's condition deteriorated and she ultimately died. To the best of our knowledge, this is the first case of K. pneumoniae invasive liver abscess syndrome with septic meningitis reported in mainland China. Our findings reflect the need for a better understanding of the epidemiology, risk factors, complications, comorbid medical conditions and treatment of this disease.
Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Choc septique
/
Infections à Klebsiella
/
Méningite bactérienne
/
Klebsiella pneumoniae
/
Abcès du foie
Type d'étude:
Diagnostic_studies
/
Risk_factors_studies
Limites:
Female
/
Humans
/
Middle aged
Pays/Région comme sujet:
Asia
Langue:
En
Journal:
World J Gastroenterol
Sujet du journal:
GASTROENTEROLOGIA
Année:
2016
Type de document:
Article
Pays d'affiliation:
Chine