Abstract

ZEGARRA PIEROLA, Jaime; FERNANDEZ MERJILDO, Diana; COSME AVILA, Samuel  and  TICONA SALAZAR, José. Hepatic abscess with bacteremia and hypervirulent Klebsiella pneumoniae meningoencephalitis in the course of SARS - CoV2 infection. Case report. Rev Med Hered [online]. 2021, vol.32, n.4, pp.239-245.  Epub Jan 19, 2022. ISSN 1018-130X.  http://dx.doi.org/10.20453/rmh.v32i4.4121.

Klebsiella pneumoniae is a member of the family of Enterobacteriaceae, it is an opportunistic pathogen that affects people with immune compromise, and it is the cause of nosocomial infections. The capsular serotypes K1 and K2 of Klebsiella pneumoniae have the characteristic of hypermucoviscosa, which is considered a hypervirulent strain. We present the case of a female patient with liver abscess, bacteremia and hypervirulent Klebsiella pneumoniae meningoencephalitis, in the course of a SARS - CoV2 infection, who required ventilatory support, vasopressor, antibiotic treatment and percutaneous drainage of the abscess in the intensive care unit (ICU) of the Hospital Cayetano Heredia, achieving survival and hospital discharge. This case allows us to highlight the presence of the hypervirulent strain of Klebsiella pneumoniae in our country, which will allow us to carry out a timely comprehensive evaluation and early treatment.

Keywords : Liver abscess; Klebsiella pneumonia; virulence; meningoencephalitis.

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