Endocarditis Caused by Community-Acquired Klebsiella pneumoniae Infection - A Case Report -.
10.4266/kjccm.2013.28.1.41
- Author:
Ji Ae HWANG
1
;
Charles HER
;
Yang Wook KIM
Author Information
1. Department of Medicine and Anesthesiology, Inje University Haeundae Paik Hospital, Busan, Korea. charles6133@msn.com
- Publication Type:Case Report
- Keywords:
abscess;
antibiotics;
bacteremia;
septic shock
- MeSH:
Abscess;
Anti-Bacterial Agents;
Asia;
Bacteremia;
Diabetes Mellitus;
Endocarditis;
Klebsiella;
Klebsiella pneumoniae;
Liver Abscess;
Liver Abscess, Pyogenic;
Pneumonia;
Sepsis;
Shock, Septic
- From:The Korean Journal of Critical Care Medicine
2013;28(1):41-45
- CountryRepublic of Korea
- Language:English
-
Abstract:
In community-acquired Klebsiella pneumoniae infection, pyogenic liver abscess is common as a primary site of infection, particularly in Asia, that can progress to bacteremia. Diabetes mellitus is a usual predisposing factor. Pneumonia as primary site of infection by community-acquired Klebsiella pneumoniae infection is not common but carries a poor outcome. Early administration of appropriate antibiotics is extremely important to avoid the development of bacteremia and septicemia. An infective endocarditis caused by community-acquired Klebsiella pneumoniae infection is very rare; particularly, such a case of endocarditis in which pneumonia was the primary site of infection has never been reported previously. In this report we described a case of community-acquired Klebsiella pneumoniae infection that started with pneumonia and progressed to bacteremia, leading to endocarditis, liver abscess, and other systemic septic complications. Delayed administration of appropriate antibiotics may have played a role in this case.
