Metastatic Klebsiella pneumoniae Invasive Liver Abscess Syndrome in Denver, Colorado
| Autor: | Mary E. Bradley, Sarah Scoular |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
biology
business.industry Klebsiella pneumoniae K pneumoniae 030208 emergency & critical care medicine medicine.disease biology.organism_classification Microbiology 03 medical and health sciences 0302 clinical medicine Endophthalmitis 030221 ophthalmology & optometry Medicine Pharmacology (medical) business Liver abscess |
| Zdroj: | Journal of Pharmacy Practice. 34:332-336 |
| ISSN: | 1531-1937 0897-1900 |
| DOI: | 10.1177/0897190019882867 |
| Popis: | Background: Klebsiella pneumoniae has gained recognition for its association with invasive liver abscess syndrome (ILAS). ILAS is associated with a hypervirulent strain of K pneumoniae and can impact immunocompetent as well as immunocompromised patients. Case Report: A 42-year-old Hispanic male with no significant past medical history was admitted with complaints of subjective fevers and worsening fatigue. The patient was found to have multiple septic pulmonary emboli, a prostate abscess, a seminal vesicle abscess, bilateral frontoparietal and left temporal infarcts thought to be due to septic emboli, pyelonephritis, endophthalmitis, and hepatic abscesses. Cultures grew K pneumoniae that was determined to be the hypervirulent strain associated with ILAS. The patient was treated for a total of 71 days, including ceftriaxone and multiple intravitreal injections with ceftazidime. Conclusion: Notably, this case report details a disease state new to Colorado. Pharmacists are able to assist in the care of ILAS with antibiotic selection, considering sites of infection and encouraging appropriate consultation of specialized care teams. |
| Databáze: | OpenAIRE |
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