The first case of abdominal mycotic aneurysm caused by K1 hypervirulent Klebsiella pneumoniae in a healthy adult
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Incidence of hypervirulent Klebsiella pneumoniae (hvKp) infection has been steadily increasing in the Asia-Pacific rim. The characteristic of hvKp infection is its ability to cause multiple site infections and unpredictable metastatic spread in the community. We describe the first case of mycotic aneurysm caused by hvKp serotype K1 in a previously healthy man and review the literature. Of a total of 13 cases, including our case, three cases were related to hvKp. Among patients with hvKp, the level of mycotic aneurysm in most patients was the infrarenal aorta, and they underwent an aortic graft or coil embolization. All strains were susceptible to most antimicrobial agents, except ampicillin. Early detection of hvKp can help to prevent the metastatic spread of pathogens and be useful for optimal patient care and epidemiologic research.
Abstract
Incidence of hypervirulent Klebsiella pneumoniae (hvKp) infection has been steadily increasing in the Asia-Pacific rim. The characteristic of hvKp infection is its ability to cause multiple site infections and unpredictable metastatic spread in the community. We describe the first case of mycotic aneurysm caused by hvKp serotype K1 in a previously healthy man and review the literature. Of a total of 13 cases, including our case, three cases were related to hvKp. Among patients with hvKp, the level of mycotic aneurysm in most patients was the infrarenal aorta, and they underwent an aortic graft or coil embolization. All strains were susceptible to most antimicrobial agents, except ampicillin. Early detection of hvKp can help to prevent the metastatic spread of pathogens and be useful for optimal patient care and epidemiologic research.
참고문헌 (10)
- Choby JE, "Hypervirulent Klebsiella pneumoniae : clinical and molecular perspectives", J Intern Med, 287, pp.283~300 (2020)
- Harada S, "Molecular epidemiology of Klebsiella pneumoniae K1 and K2 isolates in Japan", Diagn Microbiol Infect Dis, 91, pp.354~359 (2018)
- Hsu PJ, "Clinical and microbiological characteristics of mycotic aneurysms in a medical center in southern Taiwan", J Microbiol Immunol Infect, 41, pp.318~324 (2008)
- Lam MM, "Population genomics of hypervirulent Klebsiella pneumoniae clonal-group 23 reveals early emergence and rapid global dissemination", Nat Commun, 9, pp.2703~ (2018)
- Russo TA, "Hypervirulent Klebsiella pneumoniae", Clin Microbiol Rev, 15(3), pp.e00001~e00019 (2019)
- Siu LK, "Klebsiella pneumoniae liver abscess : a new invasive syndrome", Lancet Infect Dis, 12, pp.881~887 (2012)
- Martin RM, "Colonization, infection, and the accessory genome of Klebsiella pneumoniae", Front Cell Infect Microbiol, 8, pp.4~ (2018)
- Cubero M, "Hypervirulent Klebsiella pneumoniae serotype K1 clinical isolates form robust biofilms at the air-liquid interface", PLoS One, 14, pp.e0222628~ (2019)
- Namikawa H, "Two unusual cases of successful treatment of hypermucoviscous Klebsiella pneumoniae invasive syndrome", BMC Infect Dis, 16, pp.680~ (2016)
- Chen YJ, "Mycotic aneurysm caused by gas-forming serotype K5 Klebsiella pneumoniae", Int J Infect Dis, 13, pp.e47~e48 (2009)