A case of hypermucoviscous Klebsiella pneumoniae liver abscess syndrome in an Iraqi male

A 53-year-old man presented with fevers, productive cough and decreased appetite. He emigrated from Iraq 4 years ago. Chest x-ray revealed a left lung consolidation. Respiratory cultures and two sets of blood cultures grew out pan-susceptible Klebsiella pneumoniae Liver ultrasound revealed a 6.4-cm...

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Bibliographic Details
Published in:	QJM : An International Journal of Medicine Vol. 109; no. 7; pp. 493 - 494
Main Authors:	Kazanji, Noora, Klein, Rachel E, Lohani, Sadichhya, Mertens, Amy N, Le, Julie
Format:	Journal Article
Language:	English
Published:	England 01-07-2016
Subjects:	Administration, Intravenous Anti-Bacterial Agents - therapeutic use beta-Lactams - therapeutic use Communicable Diseases, Emerging - microbiology Decompression, Surgical Drainage Humans Iraq Klebsiella Infections - drug therapy Klebsiella Infections - microbiology Klebsiella pneumoniae Klebsiella pneumoniae - pathogenicity Liver Abscess - microbiology Liver Abscess - therapy Male Microbial Sensitivity Tests Middle Aged Syndrome Treatment Outcome
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Summary:	A 53-year-old man presented with fevers, productive cough and decreased appetite. He emigrated from Iraq 4 years ago. Chest x-ray revealed a left lung consolidation. Respiratory cultures and two sets of blood cultures grew out pan-susceptible Klebsiella pneumoniae Liver ultrasound revealed a 6.4-cm complex lesion in the left hepatic lobe. A biopsy of the liver lesion produced bloody purulent aspirate; abscess cultures yielded a highly viscous pan-susceptible K. pneumoniae Klebsiella pneumoniae liver abscess syndrome is a newly described invasive syndrome due to a hypermucoviscous phenotype associated with serotypes K1 and K2 of Klebsiella. Although it is more commonly endemic to the Asian-Pacific region, it has been increasingly reported as an emerging global disease. We present the first case of this syndrome in a patient of middle-eastern descent. We also present pictorial evidence of the microbe's unique viscous, muculent texture grown on agar.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 ObjectType-Article-1 ObjectType-Feature-2
ISSN:	1460-2725 1460-2393
DOI:	10.1093/qjmed/hcw049