Absceso hepático por Klebsiella pneumoniae, asociado con bacteriemia y meningitis. Reporte de un caso / Klebsiella pneumoniae liver abscess associated with bacteremia and meningitis. Case report
Acta méd. peru
; 33(1): 75-78, ene.-mar.2016. ilus
Article
in Spanish
| LILACS, LIPECS
| ID: lil-790674
Responsible library:
PE1.1
RESUMEN
El absceso hepático, continúa siendo un importante problema de salud pública. El causado por Klebsiella pneumoniae, se ha descrito en un 29% de los casos en algunas series. Con una mortalidad hasta del 11,3%, se presenta con mayor frecuencia en pacientes con diabetes mellitus, relacionándose con complicaciones a distancia, como meningitis, absceso cerebral y afección pulmonar. Se presenta el caso de un hombre sin factores de riesgo, con síndrome de absceso hepático por Klebsiella pneumoniae con diseminación hematógena dado por la presencia de bacteriemia y meningitis. Fue manejado con cefepime y drenaje percutáneo, presentando mejoría clínica total. La infección por Klebsiella pneumoniae, representa una etiología emergente como causa de abscesos hepáticos con un comportamiento clínico diferente al resto de infecciones relacionadas con este microorganismo...
ABSTRACT
Liver abscess remains a major public health problem. Some series have reportedKlebsiella pneumoniae as the causative agent of liver abscesses in up to 29% of cases. This condition has a high mortality rate, up to 11.3%, and it occurs more often in patients with diabetes mellitus, being related to disseminated complications such as meningitis, brain abscess, and pulmonary complications. We report the case of a male patient with a liver abscess caused by Klebsiella pneumoniae and no underlying risk factors, associated with hematogenous spread with the occurrence of bacteremia and meningitis. The patient was treated with cefepime and percutaneous drainage, and he completely recovered. Klebsiella pneumoniae infection represents an emerging etiological cause of liver abscesses, with a different clinical behavior compared to other infections related to this microorganism...
Full text:
Available
Collection:
National databases
/
Peru
Health context:
Neglected Diseases
Health problem:
Neglected Diseases
/
Zoonoses
Database:
LILACS
/
LIPECS
Main subject:
Klebsiella pneumoniae
/
Liver Abscess
/
Meningitis
Type of study:
Risk factors
Limits:
Humans
/
Male
Country/Region as subject:
South America
/
Colombia
Language:
Spanish
Journal:
Acta méd. peru
Year:
2016
Document type:
Article
Institution/Affiliation country:
Fundación Universitaria Navarra/CO
/
Hospital Universitario Hernando Moncaleano Perdomo/CO
/
Universidad Surcolombiana/CO
/
Universidad Tecnológica de Pereira/CO