[Klebsiella pneumoniae septicaemia and meningitis in a diabetic patient with an hepatic abscess].
Klebsiella pneumoniae infections show particular features depending on the geographical localization as well as comorbidity factors. We are presenting the case of a european patient with diabetes mellitus who presented a septicaemia, a meningitis as well as an hepatic abscess due to a K. pneumoniae and whose evolution was excellent under antibiotics. Usually described among Asian patients, the primary hepatic K. pneumoniae abscess, which is a clinical entity recently described, can give rise to potentially serious and multiple septic metastasis. We also discuss the diagnostic and therapeutic attitudes related to this infection.
Méric de Bellefon
L
L
Services de Médecine Interne, C.H.U. de Charleroi, Hôpital André Vésale, Montigny-le-Tilleul. lmericde@ulb.ac.be
Legrand
J C
JC
Codden
T
T
Carlier
E
E
Vanhaeverbeek
M
M
D048909:Diabetes Complications / Q000000981:diagnostic imaging / Q000382:microbiology*; D006801:Humans; D007710:Klebsiella Infections / Q000209:etiology*; D007711:Klebsiella pneumoniae; D046290:Liver Abscess, Pyogenic / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D008581:Meningitis / Q000209:etiology* / Q000382:microbiology; D008875:Middle Aged; D011859:Radiography; D018805:Sepsis / Q000209:etiology*