Pyogenic Liver Abscess, Bacteremia, and Meningitis with Hypermucoviscous Klebsiella pneumoniae: An Unusual Case Report in a Human T-Cell Lymphotropic Virus Positive Patient of Caribbean Origin in the United States.
Pyogenic liver abscess (PLA) is a potentially fatal disease. Klebsiella pneumoniae (K. pneumoniae) has replaced Escherichia coli (E. coli) as the predominant causative organism for pyogenic liver abscess. Over the years a unique form of community-acquired invasive K. pneumoniae infection of the liver has been well described in Southeast Asia. This has recently been linked to a virulent hypermucoviscous K. pneumoniae phenotype and to a specific genotype, rmpA positive. To our knowledge, we report the first case of PLA with bacteremia and meningitis in a Guyanese patient with the presence of rmpA-positive K. pneumoniae with laboratory evidence in North America.
SUNY Downstate Medical Center, Brooklyn, NY 11203, USA.
Gargi
G
Patel
Rockford Infectious Disease Consultants, Chicago, IL 61108, USA.
Neha
N
Shah
SUNY Downstate Medical Center, Brooklyn, NY 11203, USA ; Arnold & Marie Schwartz College of Pharmacy, SUNY College of Medicine, The Health Science Center at Brooklyn, Brooklyn, NY 11203, USA.
Roopali
R
Sharma