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PYOGENIC LIVER ABSCESS CAUSED BY KLEBSIELLA PNEUMONIAE

IVAN ZORIČIĆ ; Sveti Duh University Hospital, University Department of Surgery, Zagreb, Croatia
DARKO VUKUŠIĆ ; Sveti Duh University Hospital, University Department of Surgery, Zagreb, Croatia
MARKO SEVER ; Sveti Duh University Hospital, University Department of Surgery, Zagreb, Croatia
NERMIN LOJO ; Sveti Duh University Hospital, University Department of Surgery, Zagreb, Croatia
MARKO BARIĆ ; Sveti Duh University Hospital, University Department of Surgery, Zagreb, Croatia

Abstract

Pyogenic liver abscess caused by Klebsiella pneumoniae is usually found in Southeast Asia, while in Europe Escherichia coli, Streptococcus or Staphylococcus are most common. In case of a failed ultrasound controlled abscess, aspiration surgical treatment is indicated. This paper reports the clinical case of pyogenic liver abscess caused by Klebsiella pneumoniae, which was treated by operative drainage. A 60-year-old patient was transferred to our institution from the University Hospital for Infectious Diseases with septic temperature, abdominal pain and finding of Klebsiella pneumoniae liver abscess (resistant to antibiotic therapy). Additional laboratory tests and abdominal MSCT scan confirmed the initial diagnosis. The localization of abscesses technically prevented ultrasound-controlled abscess aspiration and drainage; after appropriate preparation, operative liver abscess incision and drainage were performed. Microbiological examination of the abscess sample revealed Klebsiella pneumoniae as the cause of liver abscess.

Keywords

pyogenic liver abscess; Klebsiella pneumoniae

Hrčak ID:

104102

URI

https://hrcak.srce.hr/104102

Publication date:

20.6.2013.

Article data in other languages: croatian

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