title: Recurrent Klebsiella pneumoniae liver abscess in a diabetic patient followed by Streptococcus bovis endocarditis--occult colon tumor plays an important role.
abstract: Klebsiella pneumoniae is the leading cause of liver abscess in diabetic patients in Taiwan. We report the case of a diabetic patient with a history of four episodes of K. pneumoniae liver abscess within 3 years. The patient later developed Streptococcus bovis bacteremia originating from a colon tumor with complications of endocarditis, osteomyelitis, and silent splenic abscess. Occult colon tumor may have played an important role in our case, with recurrent infection arising from colonizers of the gastrointestinal tract. As our case shows, the possible association between occult colon tumor and K. pneumoniae liver abscess in diabetic patients should be surveyed.
authors.affiliation: Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
authors.forename: Shao-Wen
authors.initials: SW
authors.lastname: Weng
authors.forename: Jien-Wei
authors.initials: JW
authors.lastname: Liu
authors.forename: Wei-Jen
authors.initials: WJ
authors.lastname: Chen
authors.forename: Pei-Wen
authors.initials: PW
authors.lastname: Wang
mesh_terms: D018253:Adenoma, Villous / Q000150:complications; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003110:Colonic Neoplasms / Q000150:complications*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D004697:Endocarditis, Bacterial / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D007710:Klebsiella Infections / Q000188:drug therapy / Q000209:etiology*; D007711:Klebsiella pneumoniae / Q000302:isolation & purification; D008100:Liver Abscess / Q000188:drug therapy / Q000382:microbiology*; D008297:Male; D013290:Streptococcal Infections / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D016985:Streptococcus bovis / Q000302:isolation & purification
chemical_list: D000900:Anti-Bacterial Agents