A Case of Metastatic Liver Abscess and Brain Abscess Due to Klebsiella pneumoniae Pneumonia

Keimyung Medical Journal 2011;30(2):254-259.

Klebsiella pneumoniae에 의한 지역사회 폐렴에서 속발한 간농양과 뇌농양 1례

표진실; 이태희; 정인범; 임성민; 류기현; 허규찬; 강영우

Abstract

Klebsiella pneumoniae is a common pathogen of community acquired pneumonia and commonly isolated in hospital aquired urinary tract infection; septicemia; pneumonia; intra-abdominal infections. Klebsiella pneumoniae infections tend to develop bacteremia and metastatic infection at other sites through the blood stream. Metastatic infections at other sites; such as endophthalmitis; suppurative meningitis; brain abscess; necrotizing fasciitis; and osteomyelitis usually have poor prognosis and remain permanent impairments. Thus; It is emphasized the importance of early and appropriate antibiotics treatment. A 62-year-old man with fever; dyspnea was admitted. We treated community acquired pneumonia and blood culture revealed the pathogen was K. pneumoniae. Despite daily parenteral injection of antibiotics; he complained severe headache and abdominal pain. Computed tomography of abdomen and brain showed metastatic liver abscess and brain abscess. We successfully treated the patient with antibiotics therapy. We report here a K. pneumoniae infection initially manifestating pneumonia and developed metastatic liver and brain abscess that were treated successfully.

Key Words: Brain abscess, Klebsiella pneumonia, Liver abscess, Pneumonia