[A Case of Delayed-onset Multiple Metastatic Infection following Liver Abscess].
Klebsiella pneumoniae liver abscess has a tendency to spread to distant sites early in the course of disease and to involve multiple organs synchronously. A 59-year-old male was admitted because of liver abscess accompanied by fever and abdominal pain. The patient underwent percutaneous catheter drainage and received intravenous antibiotics. Symptom relief was achieved after the treatment as well as marked reduction in the size of the abscess. Despite proper treatment of the liver abscess, however, patient developed multiple metastatic infections in a non-concurrent manner: left and right endophthalmitis, psoas abscess, and infectious spondylitis at 5, 23, 30 and 65 days after initial manifestations of liver abscess, respectively. Each infectious episode followed one another after resolution of the former one. For each episode of metastatic infections, the patient promptly underwent treatment with systemic and local antibiotics, interventional abscess drainage, and surgical treatments as needed. The patient fully recovered without sequelae after the use of intravenous antibiotics for an extended period of time. Herein, we report a case of K. pneumoniae liver abscess complicated with delayed-onset multiple metastatic infections.
Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
Kang Hoon
KH
Lee
Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
Sun Young
SY
Moon
Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
In Ae
IA
Kim
Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
So Young
SY
Kwon
Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
Jeong Han
JH
Kim
Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
Won Hyeok
WH
Choe
Department of Radiology, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
Yong Wonn
YW
Kwon
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D004322:Drainage; D009877:Endophthalmitis / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D007275:Injections, Intravenous; D007710:Klebsiella Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D007711:Klebsiella pneumoniae / Q000302:isolation & purification; D008100:Liver Abscess / Q000175:diagnosis* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D016659:Psoas Abscess / Q000175:diagnosis / Q000209:etiology; D013166:Spondylitis / Q000175:diagnosis / Q000188:drug therapy; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D002443:Ceftriaxone
Endophthalmitis; Klebsiella pneumoniae; Liver abscess, pyogenic; Psoas abscess; Spondylitis