[A case of Klebsiella pneumoniae infection causing a buccal abscess complicated with multiple lung abscesses].
A 51 year-old man fitted with a dental prosthesis was hospitalized with buccal swelling, fever and chest pain. Laboratory data showed marked inflammatory changes, and chest radiography and CT scanning revealed small nodular shadows within the lung. A diagnosis of multiple lung abscesses secondary to a buccal abscess possibly caused by the prosthesis was made from needle aspiration biopsies of the lung nodules and of a buccal lesion. Klebsiella pneumoniae was isolated from these lesions and from a blood culture. The patient was successfully treated with antibiotics and by surgical drainage of the buccal abscess. It is important to note that the patient was immunodeficient at the time as a result of diabetes and alcohol intoxication.
Kosugi
E
E
Department of Internal Medicine, Saiseikai Kanagawaken Hospital.
Yoshida
K
K
Aoike
N
N
Shimizu
K
K
Higa
M
M
Sakai
N
N
Nakamura
Y
Y
Uchida
K
K
Tateda
K
K
D000038:Abscess / Q000209:etiology*; D002610:Cheek; D017266:Dental Prosthesis; D006801:Humans; D007710:Klebsiella Infections / Q000209:etiology*; D007711:Klebsiella pneumoniae; D008169:Lung Abscess / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections