Contrast‐Enhanced Ultrasound Appearance of Hypervirulent Klebsiella pneumoniae Liver Abscesses

Autor: Robert D. Harris, Hisham Tchelepi, Gilbert Whang
Rok vydání: 2020
Předmět:
Zdroj: Journal of Ultrasound in Medicine. 39:1447-1452
ISSN: 1550-9613
0278-4297
Popis: There has been a paradigm shift with Klebsiella pneumoniae (KP) emerging as the most frequently isolated bacterium in pyogenic liver abscesses in immunocompetent patients. Colonization of this hypervirulent KP strain has led to community-acquired liver abscesses. Septic seeding to distant sites of the body has been recognized and is strongly associated with diabetes. Contrast-enhanced computed tomographic features have been described. Grayscale ultrasound (US) features remain inconclusive, with variable US appearances. Here we describe the contrast-enhanced US features of KP liver abscesses, which correlated with previously described computed tomographic findings. The use of contrast-enhanced US eliminates the need for radiation exposure.
Databáze: OpenAIRE