title: Disseminated Klebsiella rhinoscleromatis infection.
abstract: A 35-year-old obese black American woman presented with nausea, vomiting, diarrhea, fever, cough, and chest pain of 2 weeks duration. She was pancytopenic and acidotic, with respiratory failure and hypotension. A diagnosis of septic shock was made, and the patient died 48 hours after admission. Blood cultures were positive for organisms that were reported to be Klebsiella rhinoscleromatis. At autopsy she had massive hepatic necrosis with numerous Mikulicz's cells. The lungs, spleen, and bone marrow were also involved. To our knowledge, this is the first report of a case of systemic infection with K rhinoscleromatis.
authors.affiliation: Department of Pathology, Jackson Memorial Hospital-University of Miami Medical Center, Fla.
authors.forename: R
authors.initials: R
authors.lastname: Porto
authors.forename: O
authors.initials: O
authors.lastname: Hevia
authors.forename: G T
authors.initials: GT
authors.lastname: Hensley
authors.forename: P R
authors.initials: PR
authors.lastname: Meyer
mesh_terms: D000328:Adult; D001769:Blood / Q000382:microbiology; D001853:Bone Marrow / Q000473:pathology; D005260:Female; D006801:Humans; D007710:Klebsiella Infections / Q000382:microbiology / Q000473:pathology*; D007711:Klebsiella pneumoniae / Q000302:isolation & purification; D008099:Liver / Q000473:pathology; D008168:Lung / Q000473:pathology