title: First report of invasive liver abscess syndrome with endophthalmitis caused by a K2 serotype ST2398 hypervirulentKlebsiella pneumoniaein Germany, 2016.
abstract: We report a case of severe infection with liver abscess and endophthalmitis caused by a hypervirulentKlebsiella pneumoniaestrain in an immunocompetent German male patient without travel history to Asia. Phenotypic and molecular characterization showed high similarity to the reference genome NTUH-K2044 isolated in Asia. The isolate was assigned as ST2398 (clonal complex 66). The findings underline global spread of hypervirulentKlebsiella pneumoniaestrains to Europe.
authors.affiliation: Department of Medicine II, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
authors.forename: C
authors.initials: C
authors.lastname: Pichler
authors.affiliation: Institute for Medical Microbiology and Hygiene, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Büchsel
authors.affiliation: Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
authors.forename: J W
authors.initials: JW
authors.lastname: Rossen
authors.affiliation: Division of Infectious Diseases, Department of Medicine II, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Vavra
authors.affiliation: Department of Infection Prevention and Hospital Hygiene, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
authors.forename: S
authors.initials: S
authors.lastname: Reuter
authors.affiliation: Division of Infectious Diseases, Department of Medicine II, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
authors.forename: W V
authors.initials: WV
authors.lastname: Kern
authors.affiliation: Department of Medicine II, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
authors.forename: R
authors.initials: R
authors.lastname: Thimme
authors.affiliation: Division of Infectious Diseases, Department of Medicine II, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Mischnik
keywords: Endophthalmitis; Klebsiella pneumoniae; ST2398; hypervirulent; liver abscess