Journal Article

Klebsiella pneumoniae invasion syndrome: a case of liver abscess combined with lung abscess, endophthalmitis, and brain abscess

Zhang, Xiang-Yang, Duan, Min, Chen, Xu-Yan, Zhang, Chen-Guang, Wang, Yan

2022

Overview

Klebsiella pneumoniae invasion syndrome (KPIS) is a critical multi-site infection that is usually caused by highly virulent Klebsiella pneumonia. It is relatively common in Asian patients with diabetes and leads to sepsis, which has a high mortality rate. We report the case of a man in his early 40s who presented to the hospital with blurred vision in his left eye of 7 days’ duration and fever of 1 day’s duration. After a complete examination, he was diagnosed with KPIS on the basis of his liver abscessation, lung abscessation, endophthalmitis of the left eye and brain abscessation. After needle puncture and drainage of the left eye and liver abscess and anti-bacterial treatment with meropenem, the patient recovered well. When KPIS is suspected, attention should be paid to the sites of infection and the selection of the most appropriate antibiotics, but the most important aim should be to drain the lesions in a timely manner to improve the patient’s prognosis.

• Publisher: SAGE Publications,Sage Publications Ltd
• Subject: Abscesses / Antibiotics / Brain Abscess - complications / Brain Abscess - diagnostic imaging / Case Reports / Endophthalmitis - complications / Endophthalmitis - diagnosis / Humans / Klebsiella pneumoniae / Liver Abscess - complications / Lung Abscess - complications / Male