| 콜레브지엘라균 감염에 의한 심장내막염 |
| 황지애ㆍ허찰스ㆍ김양욱 |
| Department of Medicine and Anesthesiology, Inje University Haeundae Paik Hospital, Busan, Korea |
| Endocarditis Caused by Community-Acquired Klebsiella pneumoniae Infection - A Case Report - |
| Ji Ae Hwang, Charles Her, Yang Wook Kim |
| Department of Medicine and Anesthesiology, Inje University Haeundae Paik Hospital, Busan, Korea. charles6133@msn.com |
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| ABSTRACT |
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In community-acquired Klebsiella pneumoniae infection, pyogenic liver abscess is common as a primary site of infection, particularly in Asia, that can progress to bacteremia. Diabetes mellitus is a usual predisposing factor. Pneumonia as primary site of infection by community-acquired Klebsiella pneumoniae infection is not common but carries a poor outcome. Early administration of appropriate antibiotics is extremely important to avoid the development of bacteremia and septicemia. An infective endocarditis caused by community-acquired Klebsiella pneumoniae infection is very rare; particularly, such a case of endocarditis in which pneumonia was the primary site of infection has never been reported previously. In this report we described a case of community-acquired Klebsiella pneumoniae infection that started with pneumonia and progressed to bacteremia, leading to endocarditis, liver abscess, and other systemic septic complications. Delayed administration of appropriate antibiotics may have played a role in this case. |
| Key Words:
abscess; antibiotics; bacteremia; septic shock |
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