Termination of a 4-month serial Klebsiella pneumoniae septicemia in a diabetic woman after aneurysmectomy in conjunction with antimicrobial therapy.
A diabetic woman suffered from deep neck infection, endophthalmitis, urinary tract infection, and mycotic aneurysm associated Klebsiella pneumoniae bacteremia for 4 months. Aneurysmectomy and antibiotic therapy terminated recurrent K pneumoniae sepsis suggestive of removal of the pathogen niche in an artery, which served as the root of serial infections. The DNA fingerprints of K pneumoniae isolates indicated that the same strain K pneumoniae caused all the infection episodes. The case is reported and its clinical implications are discussed.
Liu
Jien-Wei
JW
Division of Infectious Diseases, Department of Internal Medicine, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan. drjwliu@yahoo.com.tw
Lee
Ing-Kit
IK
Lee
Fan-Yen
FY
Wu
Jiunn-Jong
JJ
D000368:Aged; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery*; D000890:Anti-Infective Agents / Q000627:therapeutic use*; D001167:Arteritis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery*; D004269:DNA, Bacterial / Q000302:isolation & purification; D048909:Diabetes Complications / Q000000981:diagnostic imaging / Q000382:microbiology / Q000628:therapy*; D005260:Female; D006801:Humans; D017543:Iliac Aneurysm / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery*; D007710:Klebsiella Infections / Q000150:complications / Q000188:drug therapy* / Q000382:microbiology; D007711:Klebsiella pneumoniae / Q000235:genetics / Q000302:isolation & purification*; D012008:Recurrence; D018805:Sepsis / Q000188:drug therapy* / Q000382:microbiology; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures
D000890:Anti-Infective Agents; D004269:DNA, Bacterial