A Case of Delayed-onset Multiple Metastatic Infection following Liver Abscess.
10.4166/kjg.2015.66.4.237
- Author:
Kang Hoon LEE
1
;
Sun Young MOON
;
In Ae KIM
;
So Young KWON
;
Jeong Han KIM
;
Won Hyeok CHOE
;
Yong Wonn KWON
Author Information
1. Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea. 20050101@kuh.ac.kr
- Publication Type:Case Reports ; English Abstract
- Keywords:
Liver abscess, pyogenic;
Endophthalmitis;
Psoas abscess;
Spondylitis;
Klebsiella pneumoniae
- MeSH:
Anti-Bacterial Agents/therapeutic use;
Ceftriaxone/therapeutic use;
Drainage;
Endophthalmitis/diagnosis/drug therapy;
Humans;
Injections, Intravenous;
Klebsiella Infections/complications/*diagnosis/drug therapy;
Klebsiella pneumoniae/isolation & purification;
Liver Abscess/*diagnosis/etiology;
Male;
Middle Aged;
Psoas Abscess/diagnosis/etiology;
Spondylitis/diagnosis/drug therapy;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2015;66(4):237-241
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
