title: Invasive liver abscess syndrome predisposed by Klebsiella pneumoniae related prostate abscess in a nondiabetic patient: a case report.
abstract: BACKGROUND
  Prostate abscess is usually a complication of acute urinary tract infection. Invasive liver abscess syndrome is characterized with Klebsiella pneumoniae related multiple organ metastasis. Concomitant pyogenic liver abscess and prostate abscess have rarely been reported. Recurrent episode of liver abscess is even rarer.
  
  
  METHODS
  We report a 71-year-old male with acute bacterial prostate abscess and urinary tract infection caused by K. pneumoniae associated with multiple liver abscess, psoas muscle abscess and osteomyelitis. Blood culture and urine culture yielded K. pneumoniae, which confirmed the diagnosis of invasive liver abscess syndrome caused by K. pneumoniae. The patient was successfully treated with empirical antibiotics for 6 weeks.
  
  
  CONCLUSIONS
  This case emphasizes the importance of timely and accurate diagnosis followed by appropriate treatment in disseminated K. pneumoniae infection to prevent significant morbidity and mortality.
authors: Department of Medicine, Kaohsiung Armed Forces General Hospital, No.2, Zhongzheng 1st Road, Lingya District, Kaohsiung, 802, Taiwan, ROC.|Department of Nephrology, Tri-Service General Hospital, No.325, Sec. 2, Chenggong Road, Neihu District, Taipei, 114, Taiwan, ROC.
authors: Chen-Yi
authors: http://orcid.org/0000-0003-4156-0912
authors: CY
authors: Liao
authors: Department of Infection, Tri-Service General Hospital, No.325, Sec. 2, Chenggong Road, Neihu District, Taipei, 114, Taiwan, ROC.
authors: Ya-Sung
authors: YS
authors: Yang
authors: Department of Medicine, Kaohsiung Armed Forces General Hospital, No.2, Zhongzheng 1st Road, Lingya District, Kaohsiung, 802, Taiwan, ROC.
authors: Yen-Cheng
authors: YC
authors: Yeh
authors: Department of Medicine, Kaohsiung Armed Forces General Hospital, No.2, Zhongzheng 1st Road, Lingya District, Kaohsiung, 802, Taiwan, ROC.
authors: Ren-Jy
authors: RJ
authors: Ben
authors: Department of Medicine, Kaohsiung Armed Forces General Hospital, No.2, Zhongzheng 1st Road, Lingya District, Kaohsiung, 802, Taiwan, ROC.
authors: Ching-Chang
authors: CC
authors: Lee
authors: Department of Medicine, Kaohsiung Armed Forces General Hospital, No.2, Zhongzheng 1st Road, Lingya District, Kaohsiung, 802, Taiwan, ROC.
authors: Chi-Chang
authors: CC
authors: Tsai
authors: Department of Medicine, Kaohsiung Armed Forces General Hospital, No.2, Zhongzheng 1st Road, Lingya District, Kaohsiung, 802, Taiwan, ROC.
authors: Chien-Yao
authors: CY
authors: Wang
authors: Department of Medicine, Kaohsiung Armed Forces General Hospital, No.2, Zhongzheng 1st Road, Lingya District, Kaohsiung, 802, Taiwan, ROC.
authors: Wu-Hsien
authors: WH
authors: Kuo
authors: Department of Medicine, Kaohsiung Armed Forces General Hospital, No.2, Zhongzheng 1st Road, Lingya District, Kaohsiung, 802, Taiwan, ROC. ndmcndmcndmc@gmail.com.|Department of Nephrology, Tri-Service General Hospital, No.325, Sec. 2, Chenggong Road, Neihu District, Taipei, 114, Taiwan, ROC. ndmcndmcndmc@gmail.com.
authors: Chih-Chiang
authors: CC
authors: Wang
mesh_terms: D000368:Aged; D003920:Diabetes Mellitus; D006801:Humans; D007710:Klebsiella Infections / Q000150:complications / Q000382:microbiology; D007711:Klebsiella pneumoniae / Q000502:physiology*; D046290:Liver Abscess, Pyogenic / Q000150:complications / Q000000981:diagnostic imaging / Q000382:microbiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D011467:Prostate / Q000382:microbiology* / Q000473:pathology*; D014057:Tomography, X-Ray Computed
keywords: Invasive liver abscess syndrome; Klebsiella pneumoniae; Prostate abscess