Septic Metastatic Lesions Associated with Klebsiella pneumoniae Liver Abscess / 감염과화학요법
Infection and Chemotherapy
;
: 95-100, 2006.
Artigo
em Coreano
| WPRIM
| ID: wpr-721989
ABSTRACT
Pyogenic liver abscess is a serious clinical disease with severe complication in about 10-20% of cases. Metastatic septic endophthalmitis and CNS infection are rare but their incidence is increasing in liver abscess patients, especially Klebsiella pneumoniae as etiologic bacteria. Despite appropriate treatment, the outcome is devastating. We experienced a case of septic endophthalmitis, CNS infection (meninigitis, ventriculitis) and infective spondylitis associated with K. pneumoniae liver abscess. The patient had no specific risk factor. After intensive treatement such as systemic intravenous antibiotics with percutaneous abscess drainage and intravitreal injection, liver abscess was resolved completely. But, sequelae were severe. Socket reconstruction after evisceration with debridement on both eye and ventriculo-peritoneal shunt due to hydrocephalus were done. Our experience suggests that attention should be paid to the possibility of septic metastatic lesions as soon as the treatment of K. pneumoniae liver abscess is initiated.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pneumonia
/
Espondilite
/
Bactérias
/
Drenagem
/
Endoftalmite
/
Incidência
/
Fatores de Risco
/
Derivação Ventriculoperitoneal
/
Desbridamento
/
Abscesso Hepático Piogênico
Tipo de estudo:
Estudo de etiologia
/
Estudo de incidência
/
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
Idioma:
Coreano
Revista:
Infection and Chemotherapy
Ano de publicação:
2006
Tipo de documento:
Artigo
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