Klebsiella pneumoniae liver abscess has a tendency to spread to distant sites early in the
course of
disease and to involve multiple organs synchronously. A 59-year-old
male was admitted because of
liver abscess accompanied by
fever and
abdominal pain. The
patient underwent percutaneous
catheter drainage and received intravenous
antibiotics. Symptom relief was achieved after the
treatment as well as marked reduction in the size of the
abscess. Despite proper
treatment of the
liver abscess, however,
patient developed multiple metastatic
infections in a non-concurrent manner left and right
endophthalmitis,
psoas abscess, and infectious
spondylitis at 5, 23, 30 and 65 days after initial manifestations of
liver abscess, respectively. Each infectious episode followed one another after resolution of the former one. For each episode of metastatic
infections, the
patient promptly underwent
treatment with systemic and local
antibiotics, interventional
abscess drainage, and surgical
treatments as needed. The
patient fully recovered without sequelae after the use of intravenous
antibiotics for an extended period of
time. Herein, we
report a case of K. pneumoniae
liver abscess complicated with delayed-onset multiple metastatic
infections.