Two cases of pyogenic liver abscess due to Klebsiella pneumoniae in immunocompetent children
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Pyogenic liver abscess (PLA) can be caused by bacteria entering the liver via the portal vein or primary bacteremia, or it can be cryptogenic. Recently, Klebsiella pneumoniae has been increasingly found as a PLA pathogen. PLA due to this bacterium often leads to formation of extrahepatic abscesses. The treatment of choice is dual therapy with insertion of percutaneous catheter drainage and antibiotic therapy. We report 2 cases of PLA due to K. pneumoniae in immunocompetent children. We successfully treated patient 1 with percutaneous catheter drainage for 18 days and 6-week course of antibiotic therapy. Patient 2 was treated with percutaneous needle aspiration and antibiotic therapy for the same period. In both patients, the PLAs showed the ultrasound-confirmed resolutions after the dual therapy.
Abstract
Pyogenic liver abscess (PLA) can be caused by bacteria entering the liver via the portal vein or primary bacteremia, or it can be cryptogenic. Recently, Klebsiella pneumoniae has been increasingly found as a PLA pathogen. PLA due to this bacterium often leads to formation of extrahepatic abscesses. The treatment of choice is dual therapy with insertion of percutaneous catheter drainage and antibiotic therapy. We report 2 cases of PLA due to K. pneumoniae in immunocompetent children. We successfully treated patient 1 with percutaneous catheter drainage for 18 days and 6-week course of antibiotic therapy. Patient 2 was treated with percutaneous needle aspiration and antibiotic therapy for the same period. In both patients, the PLAs showed the ultrasound-confirmed resolutions after the dual therapy.
참고문헌 (20)
- Kliegman RM, "Nelson textbook of pediatrics", pp.1953~1954 (2016), Elsevier
- Ferreira MA, "Pyogenic liver abscess in children: some observations in the Espirito Santo State, Brazil", Arq Gastroenterol, 34, pp.49~54 (1997)
- Muorah M, "Liver abscesses in children: a single center experience in the developed world", J Pediatr Gastroenterol Nutr, 42, pp.201~206 (2006)
- Chung DR, "Emerging invasive liver abscess caused by K1 serotype Klebsiella pneumoniae in Korea", J Infect, 54, pp.578~583 (2007)
- Chung DR, "Evidence for clonal dissemination of the serotype K1 Klebsiella pneumoniae strain causing invasive liver abscesses in Korea", J Clin Microbiol, 46, pp.4061~4063 (2008)
- Chen YC, "Epidemiology and clinical outcome of pyogenic liver abscess: an analysis from the National Health Insurance Research Database of Taiwan, 2000-2011", J Microbiol Immunol Infect, 49, pp.646~653 (2016)
- Sharma A, "Epidemiologic factors, clinical presentation, causes, and outcomes of liver abscess: a 35-year Olmsted county study", Mayo Clin Proc Innov Qual Outcomes, 2, pp.16~25 (2018)
- Chan KS, "Pyogenic liver abscess: a retrospective analysis of 107 patients during a 3-year period", Jpn J Infect Dis, 58, pp.366~368 (2005)
- Thomsen RW, "Diabetes mellitus and pyogenic liver abscess: risk and prognosis", Clin Infect Dis, 44, pp.1194~1201 (2007)
- Tsai FC, "Pyogenic liver abscess as endemic disease, Taiwan", Emerg Infect Dis, 14, pp.1592~1600 (2008)
- Lee KT, "Pyogenic liver abscess: an audit of 10 years’ experience and analysis of risk factors", Dig Surg, 18, pp.459~465 (2001)
- Tan EY, "Spontaneous pneumoperitoneum resulting from the rupture of a gasforming pyogenic liver abscess", ANZ J Surg, 75, pp.251~252 (2005)
- Foo NP, "Characteristics of pyogenic liver abscess patients with and without diabetes mellitus", Am J Gastroenterol, 105, pp.328~335 (2010)
- Cheng DL, "Septic metastatic lesions of pyogenic liver abscess. Their association with Klebsiella pneumoniae bacteremia in diabetic patients", Arch Intern Med, 151, pp.1557~1559 (1991)
- Light RW., "Pleural diseases", pp.237~245 (2001), Lippincott Williams & Wilkins
- Hsu YL, "Pyogenic liver abscess among children in a medical center in Central Taiwan", J Microbiol Immunol Infect, 48, pp.302~305 (2015)
- Israeli R, "Pediatric pyogenic liver abscess", Pediatr Emerg Care, 25, pp.107~108 (2009)
- 변정림, "A case of pyogenic liver abscess in a 10-year-old girl", Clinical and Experimental Pediatrics, 53(5), pp.666~668 (2010), 대한소아청소년과학회
- Johannsen EC, "Pyogenic liver abscesses", Infect Dis Clin North Am, 14, pp.547~563 (2000)
- Sharma MP, "Liver abscess in children", Indian J Pediatr, 73, pp.813~817 (2006)