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Korean J Crit Care Med > Volume 28(1); 2013 > Article
Korean Journal of Critical Care Medicine 2013;28(1): 41-45. doi: https://doi.org/10.4266/kjccm.2013.28.1.41
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
ABSTRACT
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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