Liver Abscess Caused by Klebsiella Pneumoniae in the Absence of Hepatobiliary Disease

Klebsiella pneumoniae is notorious for causing abscesses in patients without any previous hepatobiliary disease and is a cause of liver abscesses. We report the case of a 70-year-old man with a past medical history of hypertension and benign prostatic hyperplasia who presented with a cough and fever...

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Published inCurēus (Palo Alto, CA) Vol. 14; no. 9
Main Authors Ibrahim, Saira, Nallapaneni, Naga Neelima, Muthulingam, Dharushana
Format Journal Article
LanguageEnglish
Published Palo Alto Cureus Inc 30.09.2022
Cureus
Subjects
Abdomen
Abscesses
Antibiotics
Bacterial infections
Biopsy
Case reports
Colonoscopy
Colorectal cancer
Fever
Hospitals
Hypertension
Infectious Disease
Infectious diseases
Internal Medicine
Liver
Mortality
Nosocomial infections
Patients
Polyps
Tomography
United States > US
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Summary:Klebsiella pneumoniae is notorious for causing abscesses in patients without any previous hepatobiliary disease and is a cause of liver abscesses. We report the case of a 70-year-old man with a past medical history of hypertension and benign prostatic hyperplasia who presented with a cough and fever lasting two weeks. The findings from his physical examination were unremarkable, but his laboratory investigations were significant for elevated inflammatory markers. A computed tomography scan of his abdomen revealed a complex septated cyst in the right lobe of his liver, and his blood culture was positive for K. pneumoniae. He responded well to drainage and intravenous and oral antibiotics. His abscess resolved fully. Cases of K. pneumoniae in the United States are rare, and studies are necessary to explore its epidemiology. Atypical symptoms make diagnosis a challenge, and physicians are urged to retain high levels of suspicion to diagnose and treat such cases early.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.29789