Community-acquired Klebsiella spp Meningitis/Invasive Infection in Filipino-descent Patients Living in Greece: A Case Series.

Autor: Marinakis G; Intensive Care Unit, Red Cross Hospital of Athens 'Korgialeneio-Benakeio', Athens, Greece., Kassianidis G; Emergency Department, Red Cross Hospital of Athens 'Korgialeneio-Benakeio', Athens, Greece., Kafkoula E; Department of Medical Biopathology, Red Cross Hospital of Athens 'Korgialeneio-Benakeio', Athens, Greece., Stamatopoulou C; Intensive Care Unit, Red Cross Hospital of Athens 'Korgialeneio-Benakeio', Athens, Greece., Kavallieratos F; Intensive Care Unit, Red Cross Hospital of Athens 'Korgialeneio-Benakeio', Athens, Greece., Patrani M; Intensive Care Unit, Red Cross Hospital of Athens 'Korgialeneio-Benakeio', Athens, Greece., Katsenos C; Intensive Care Unit, Red Cross Hospital of Athens 'Korgialeneio-Benakeio', Athens, Greece.
Jazyk: angličtina
Zdroj: European journal of case reports in internal medicine [Eur J Case Rep Intern Med] 2021 Jun 18; Vol. 8 (7), pp. 002576. Date of Electronic Publication: 2021 Jun 18 (Print Publication: 2021).
DOI: 10.12890/2021_002576
Abstrakt: Klebsiella spp community-acquired meningitis caused by hypervirulent strains is well described as part of a distinct syndrome consisting of liver abscess and multiple septic metastatic lesions ( Klebsiella pneumoniae invasive syndrome) occurring usually in diabetic, alcoholic, elderly or cancer patients, in Taiwan and other South-East Asian countries. In Western countries, these infections are very rare in natives and usually occur in patients of Asian origin. We report three cases of Filipino-origin patients, residents of Greece, with community-acquired invasive Klebsiella meningitis, who were treated in our ICU over a 10-year period.
Learning Points: Community-acquired Klebsiella spp meningitis has a very bad prognosis.A physician must suspect an invasive Klebsiella infection in patients of Asian origin, even though they are residents of Western countries and have not visited their homeland recently.
Competing Interests: Conflicts of Interests: The authors declare there are no competing interests.
(© EFIM 2021.)
Databáze: MEDLINE