Endocarditis Caused by Community-Acquired Klebsiella pneumoniae Infection -A Case Report-
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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.
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.
참고문헌 (15)
- Tsay RW, "Characteristics of bacteremia between community-acquired and nosocomial Klebsiella pneumoniae infection: risk factor for mortality and the impact of capsular serotypes as a herald for community-acquired infection", Arch Intern Med, 162, pp.1021~1027 (2002)
- Cheol-In Kang, "Community-Acquired versus Nosocomial Klebsiella pneumoniae Bacteremia: Clinical Features, Treatment Outcomes, and Clinical Implication of Antimicrobial Resistance", Journal of Korean Medical Science, 21(5), pp.816~822 (2006), 대한의학회
- Fang CT, "Klebsiella pneumoniae genotype K1: an emerging pathogen that causes septic ocular or central nervous system complications from pyogenic liver abscess", Clin Infect Dis, 45, pp.284~293 (2007)
- Siu LK, "Klebsiella pneumoniae liver abscess: a new invasive syndrome", Lancet Infect Dis, 12, pp.881~887 (2012)
- Ko WC, "Community-acquired Klebsiella pneumoniae bacteremia: global differences in clinical patterns", Emerg Infect Dis, 8, pp.160~166 (2002)
- Lin YT, "Bacteremic community- acquired pneumonia due to Klebsiella pneumoniae: clinical and microbiological characteristics in Taiwan, 2001-2008", BMC Infect Dis, 10, pp.307~307 (2010)
- Thomas MG, "Klebsiella pneumoniae endocarditis", J R Soc Med, 82, pp.114~115 (1989)
- Rivero A, "K2 serotype Klebsiella pneumoniae causing a liver abscess associated with infective endocarditis", J Clin Microbiol, 48, pp.639~641 (2010)
- Lederman ER, "Pyogenic liver abscess with a focus on Klebsiella pneumoniae as a primary pathogen: an emerging disease with unique clinical characteristics", Am J Gastroenterol, 100, pp.322~331 (2005)
- Fierer J, "Recurring Klebsiella pneumoniae pyogenic liver abscesses in a resident of San Diego, California, due to a K1 strain carrying the virulence plasmid", J Clin Microbiol, 49, pp.4371~4373 (2011)
- Kumar A, "Cooperative Antimicrobial Therapy of Septic Shock (CATSS) Database Research Group: Early combination antibiotic therapy yields improved survival compared with monotherapy in septic shock: a propensity-matched analysis", Crit Care Med, 38, pp.1773~1785 (2010)
- Wilson BZ, "Comparison of two guideline-concordant antimicrobial combinations in elderly patients hospitalized with severe community- acquired pneumonia", Crit Care Med, 40, pp.2310~2314 (2012)
- Walkey AJ, "Macrolide antibiotics and survival in patients with acute lung injury", Chest, 141, pp.1153~1159 (2012)
- Puskarich MA, "Emergency Medicine Shock Research Network (EMSHOCKNET): Association between timing of antibiotic administration and mortality from septic shock in patients treated with a quantitative resuscitation protocol", Crit Care Med, 39, pp.2066~2071 (2011)
- Turton JF, "Genetically similar isolates of Klebsiella pneumoniae serotype K1 causing liver abscesses in three continents", J Med Microbiol, 56, pp.593~597 (2007)