본문 바로가기
KERD
논문KCI 등재

Klebsiella pneumoniae Liver Abscess

전재범
대한감염학회 (The Korean Society Of Infectious Diseases)|2018.10|Infection and Chemotherapy|제50권 제3호|pp. 210-218

2

조회

0

다운로드

5

인용

0

참고문헌

키워드

C-reactive proteinKlebsiella pneumoniaeLiver Abscess
주제분류내과학

초록

Since the mid 1980s, the prevalence of liver abscess caused by hypervirulent Klebsiella pneumoniae strain has increased in Asia, particularly in Taiwan and Korea. This strain is mostly K1 or K2 serotype, and has hypercapsular and hypermucoid phenotypes. Most infections are community acquired, and patients rarely have a hepatobiliary disease prior to infection. Clinical manifestations are characterized by fever and high C-reactive protein, and metastatic infections, such as septic emboli in the lung and endophthalmitis and meningitis are frequently observed. Antibiotic resistance is rare. Antibiotic treatment and abscess drainage are needed, and early diagnosis and treatment of endophthalmitis is also important.

Abstract

Since the mid 1980s, the prevalence of liver abscess caused by hypervirulent Klebsiella pneumoniae strain has increased in Asia, particularly in Taiwan and Korea. This strain is mostly K1 or K2 serotype, and has hypercapsular and hypermucoid phenotypes. Most infections are community acquired, and patients rarely have a hepatobiliary disease prior to infection. Clinical manifestations are characterized by fever and high C-reactive protein, and metastatic infections, such as septic emboli in the lung and endophthalmitis and meningitis are frequently observed. Antibiotic resistance is rare. Antibiotic treatment and abscess drainage are needed, and early diagnosis and treatment of endophthalmitis is also important.

참고문헌 (44)

  1. 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)
  2. Liu YC, "Klebsiella pneumoniae liver abscess associated with septic endophthalmitis", Arch Intern Med, 146, pp.1913~1916 (1986)
  3. Wang JH, "Primary liver abscess due to Klebsiella pneumoniae in Taiwan", Clin Infect Dis, 26, pp.1434~1438 (1998)
  4. Chung DR, "Emerging invasive liver abscess caused by K1 serotype Klebsiella pneumoniae in Korea", J Infect, 54, pp.578~583 (2007)
  5. Siu LK, "Klebsiella pneumoniae liver abscess: a new invasive syndrome", Lancet Infect Dis, 12, pp.881~887 (2012)
  6. Turton JF, "Genetically similar isolates of Klebsiella pneumoniae serotype K1 causing liver abscesses in three continents", J Med Microbiol, 56, pp.593~597 (2007)
  7. Sifri CD, "Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases", pp.960~ (2015), Elsevier Saunders
  8. Mavilia MG, "The evolving nature of hepatic abscess: a review", J Clin Transl Hepatol, 4, pp.158~168 (2016)
  9. Hansen PS, "Pyogenic hepatic abscess. A 10-year population-based retrospective study", APMIS, 106, pp.396~402 (1998)
  10. Pang TC, "Pyogenic liver abscess: an audit of 10 years' experience", World J Gastroenterol, 17, pp.1622~1630 (2011)
  11. AbdelRafee A, "Long-term follow-up of 120 patients after hepaticojejunostomy for treatment of post-cholecystectomy bile duct injuries: a retrospective cohort study", Int J Surg, 18, pp.205~210 (2015)
  12. Peng YC, "Risk of pyogenic liver abscess and endoscopic sphincterotomy: a population-based cohort study", BMJ Open, 8, pp.e018818~ (2018)
  13. Qian Y, "A retrospective study of pyogenic liver abscess focusing on Klebsiella pneumoniae as a primary pathogen in China from 1994 to 2015", Sci Rep, 6, pp.38587~ (2016)
  14. Tu YC, "Genetic requirements for Klebsiella pneumoniae-induced liver abscess in an oral infection model", Infect Immun, 77, pp.2657~2671 (2009)
  15. Lin YT, "Seroepidemiology of Klebsiella pneumoniae colonizing the intestinal tract of healthy Chinese and overseas Chinese adults in Asian countries", BMC Microbiol, 12, pp.13~ (2012)
  16. Chung DR, "Fecal carriage of serotype K1 Klebsiella pneumoniae ST23 strains closely related to liver abscess isolates in Koreans living in Korea", Eur J Clin Microbiol Infect Dis, 31, pp.481~486 (2012)
  17. Smith GW, "Faecal flora in spondyloarthropathy", Br J Rheumatol, 36, pp.850~854 (1997)
  18. Thom BT, "Klebsiella in faeces", Lancet, 2, pp.1033~ (1970)
  19. Yang CC, "Comparison of pyogenic liver abscess caused by non-Klebsiella pneumoniae and Klebsiella pneumoniae", J Microbiol Immunol Infect, 37, pp.176~184 (2004)
  20. Chan KS, "Pyogenic liver abscess caused by Klebsiella pneumoniae: analysis of the clinical characteristics and outcomes of 84 patients", Chin Med J (Engl), 120, pp.136~139 (2007)
  21. Lin JC, "Impaired phagocytosis of capsular serotypes K1 or K2 Klebsiella pneumoniae in type 2 diabetes mellitus patients with poor glycemic control", J Clin Endocrinol Metab, 91, pp.3084~3087 (2006)
  22. Sheu SJ, "Risk factors for endogenous endophthalmitis secondary to Klebsiella pneumoniae liver abscess: 20-year experience in Southern Taiwan", Retina, 31, pp.2026~2031 (2011)
  23. Lin YT, "Ampicillin and amoxicillin use and the risk of Klebsiella pneumoniae liver abscess in Taiwan", J Infect Dis, 208, pp.211~217 (2013)
  24. Paczosa MK, "Klebsiella pneumoniae: Going on the dffense with a strong defense", Microbiol Mol Biol Rev, 80, pp.629~661 (2016)
  25. Su SC, "Community-acquired liver abscess caused by serotype K1 Klebsiella pneumoniae with CTX-M-15-type extended-spectrum beta-lactamase", Antimicrob Agents Chemother, 52, pp.804~805 (2008)
  26. Pan YJ, "Capsular polysaccharide synthesis regions in Klebsiella pneumoniae serotype K57 and a new capsular serotype", J Clin Microbiol, 46, pp.2231~2240 (2008)
  27. Brisse S, "wzi Gene sequencing, a rapid method for determination of capsular type for Klebsiella strains", J Clin Microbiol, 51, pp.4073~4078 (2013)
  28. Struve C, "Mapping the evolution of hypervirulent Klebsiella pneumoniae", MBio, 6, pp.e00630~ (2015)
  29. Lin JC, "High prevalence of phagocytic-resistant capsular serotypes of Klebsiella pneumoniae in liver abscess", Microbes Infect, 6, pp.1191~1198 (2004)
  30. Yu VL, "Virulence characteristics of Klebsiella and clinical manifestations of K. pneumoniae bloodstream infections", Emerg Infect Dis, 13, pp.986~993 (2007)
  31. Hsu CR, "The role of Klebsiella pneumoniae rmpA in capsular polysaccharide synthesis and virulence revisited", Microbiology, 157, pp.3446~3457 (2011)
  32. Miethke M, "Siderophore-based iron acquisition and pathogen control", Microbiol Mol Biol Rev, 71, pp.413~451 (2007)
  33. Chen SC, "Comparison of Escherichia coli and Klebsiella pneumoniae liver abscesses", Am J Med Sci, 334, pp.97~105 (2007)
  34. Lee SS, "Predictors of septic metastatic infection and mortality among patients with Klebsiella pneumoniae liver abscess", Clin Infect Dis, 47, pp.642~650 (2008)
  35. Lin AC, "Diagnosis of pyogenic liver abscess by abdominal ultrasonography in the emergency department", Emerg Med J, 26, pp.273~275 (2009)
  36. Alsaif HS, "CT appearance of pyogenic liver abscesses caused by Klebsiella pneumoniae", Radiology, 260, pp.129~138 (2011)
  37. Maffiolo C, "Thrombophlebitis of the hepatic veins: complication of a Klebsiella liver abscess", Clin Imaging, 30, pp.63~65 (2006)
  38. Binder MI, "Endogenous endophthalmitis: an 18-year review of culture-positive cases at a tertiary care center", Medicine (Baltimore), 82, pp.97~105 (2003)
  39. Jackson TL, "Endogenous bacterial endophthalmitis: a 17-year prospective series and review of 267 reported cases", Surv Ophthalmol, 48, pp.403~423 (2003)
  40. 정혜진, "Analysis of Klebsiella as a Prognostic Factor of Ocular Outcomes in Endogenous Endophthalmitis with Decision Tree Analysis", Infection and Chemotherapy, 50(3), pp.238~251 (2018), 대한감염학회
  41. Cheng HP, "Extended-spectrum cephalosporin compared to cefazolin for treatment of Klebsiella pneumoniae-caused liver abscess", Antimicrob Agents Chemother, 47, pp.2088~2092 (2003)
  42. Hsieh HF, "Aggressive hepatic resection for patients with pyogenic liver abscess and APACHE II score > or =15", Am J Surg, 196, pp.346~350 (2008)
  43. Chee SP, "Endogenous Klebsiella endophthalmitis--a case series", Ann Acad Med Singapore, 24, pp.473~478 (1995)
  44. Chou FF, "Endogenous endophthalmitis associated with pyogenic hepatic abscess", J Am Coll Surg, 182, pp.33~36 (1996)

관련 논문AI추천

Metastatic endophthalmitis and thyroid abscess complicating Klebsiella pneumoniae liver abscessHyeok Choon Kwon, Jong Kyoung Choi, Joo Won Chung, Keun Sook Lee, Seong Taek Chu, Seon-Jae Kim, Seung Woo Nam대한간학회 · Clinical and Molecular Hepatology2018 · 제24권 제1호Klebsiella pneumoniae 간농양에 합병된 패혈성 전이 병변김광석, 김지훈, 나병규, 이세형, 이종영, 천갑진, 최태혁, 최혜영대한감염학회 · Infection and Chemotherapy2006 · 제38권 제2호화농성 근염과 감염성 대동맥류로 진행한 Klebsiella pneumoniae 간농양 1예구태연, 김주형, 김지은, 김현철, 김혜영, 배현주, 백수영, 이경아, 정경희대한감염학회 · Infection and Chemotherapy2008 · 제40권 제6호Endocarditis Caused by Community-Acquired Klebsiella pneumoniae Infection -A Case Report-김양욱, 황지애, Charles Her대한중환자의학회 · Acute and Critical Care2013 · 제28권 제1호Prevalence of and risk factors for endogenous endophthalmitis in patients with pyogenic liver abscesses김현수, 박선영, 박인형, 박창환, 위진우, 유종선, 이완식, 전충환, 정숙인, 주영은, 최성규대한내과학회 · The Korean Journal of Internal Medicine2015 · 제30권 제4호간농양에 의한 패혈성 합병증과 동반된 진행성 위암최영, 고의원, 김민재, 윤건중, 이재신, 주연호영남대학교 의과대학 · Journal of Yeungnam Medical Science2015 · 제32권 제1호

이 간행물의 다른 논문 (11건)

Diagnostic Methods for Prosthetic Joint Infection in Korea박경화, Robin Patelpp. 199-209Journal Metrics of Infection & Chemotherapy and Current Scholarly Journal Publication Issues허선pp. 219-227The Predictive Value of Glycated Hemoglobin and Albumin for the Clinical Course Following Hospitalization of Patients with Febrile Urinary Tract InfectionGaku Nakamura, Toshitaka Uematsu, Takao Kamai, Minoru Kobayashi, Hironori Betsunoh, Tomoya Mizuno, Hidetoshi Kokubunpp. 228-237Analysis of Klebsiella as a Prognostic Factor of Ocular Outcomes in Endogenous Endophthalmitis with Decision Tree Analysis김신우, 김수정, 김윤정, 장현아, 이종명, 이상아, 황소윤, 정혜진pp. 238-251Effectiveness, Safety, and Tolerability of a Switch to Dual Therapy with Dolutegravir Plus Cobicistat-Boosted Darunavir in Treatment-Experienced Patients with Human Immunodeficiency Virus이상아, 황소윤, 장현하, 박한기, 김신우, 정혜진, 이종명, 김윤정, 김수정pp. 252-262
원문 보기