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Acta Médica Peruana
On-line version ISSN 1728-5917
Abstract
YUCUMA-GUTIERREZ, Samuel et al. Klebsiella pneumoniae liver abscess associated with bacteremia and meningitis: Case report. Acta méd. peruana [online]. 2016, vol.33, n.1, pp.75-78. ISSN 1728-5917.
Liver abscess remains a major public health problem. Some series have reported Klebsiella pneumoniae as the causative agent of liver abscesses in up to 29% of cases. This condition has a high mortality rate, up to 11.3%, and it occurs more often in patients with diabetes mellitus, being related to disseminated complications such as meningitis, brain abscess, and pulmonary complications. We report the case of a male patient with a liver abscess caused by Klebsiella pneumoniae and no underlying risk factors, associated with hematogenous spread with the occurrence of bacteremia and meningitis. The patient was treated with cefepime and percutaneous drainage, and he completely recovered. Klebsiella pneumoniae infection represents an emerging etiological cause of liver abscesses, with a different clinical behavior compared to other infections related to this microorganism
Keywords : Liver abscess; Klebsiella pneumonia; Meningitis, Colombia.