RESEARCH ARTICLE


Primary Klebsiella pneumoniae Liver Abscess with Metastatic Spread to Lung and Eye, a North-European Case Report of an Emerging Syndrome



Sara K Sobirk1, *, Carsten Struve2, Sanda G Jacobsson3
1 Clinical Microbiology, University and Regional Laboratories Region Skåne s-221 85 Lund, Sweden
2 Department of Bacteriology, Mycology and Parasitology, Statens Serum Institut, 2300 Copenhagen S, Denmark
3 Department of Infectious Diseases, County Hospital of Helsingborg, s-251 87 Helsingborg, Sweden


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© Sobirk et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Clinical Microbiology, University and Regional Laboratories Region Skåne s-221 85 Lund, Sweden; Tel: +46-46173287; E-mail: Sara.m.karlssonsobirk@skane.se


Abstract

A syndrome of community acquired liver abscess caused by highly virulent hypermucoviscous, rmpA positive Klebsiella pneumoniae strains occurs with high incidence in Asia. We here report a case complicated by metastatic infection, to our knowledge, the first one described in Northern Europe. This and other recently reported cases indicate the emergence of this severe syndrome outside of Asia.

Keywords: Klebsiella pneumoniae, metastatic infection, hypermucoviscous, rmpA..