Klebsiella pneumoniae에 의한 지역사회 폐렴에서 속발한 간농양과 뇌농양 1례

Abstract

Klebsiella pneumoniae is a common pathogen of community acquired pneumonia and commonly isolated in hospital aquired urinary tract infection, septicemia, pneumonia, intra-abdominal infections. Klebsiella pneumoniae infections tend to develop bacteremia and metastatic infection at other sites through the blood stream. Metastatic infections at other sites, such as endophthalmitis, suppurative meningitis, brain abscess, necrotizing fasciitis, and osteomyelitis usually have poor prognosis and remain permanent impairments. Thus, It is emphasized the importance of early and appropriate antibiotics treatment. A 62-year-old man with fever, dyspnea was admitted. We treated community acquired pneumonia and blood culture revealed the pathogen was K. pneumoniae. Despite daily parenteral injection of antibiotics, he complained severe headache and abdominal pain. Computed tomography of abdomen and brain showed metastatic liver abscess and brain abscess. We successfully treated the patient with antibiotics therapy. We report here a K. pneumoniae infection initially manifestating pneumonia and developed metastatic liver and brain abscess that were treated successfully.