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Case Reports
. 2013 Mar;51(3):1049-51.
doi: 10.1128/JCM.02853-12. Epub 2013 Jan 9.

Klebsiella pneumoniae K1 liver abscess and septic endophthalmitis in a U.S. resident

Darpun D Sachdev  1 , Michael T Yin, Jason D Horowitz, Sri Krishna Mukkamala, Song Eun Lee, Adam J Ratner
Affiliations
Case Reports

Klebsiella pneumoniae K1 liver abscess and septic endophthalmitis in a U.S. resident

Darpun D Sachdev et al. J Clin Microbiol. 2013 Mar.

Abstract

Klebsiella pneumoniae K1 is a major agent of hepatic abscess with metastatic disease in East Asia, with sporadic reports originating elsewhere. We report a case of abscess complicated by septic endophthalmitis caused by a wzyAKpK1-positive Klebsiella strain in a U.S. resident, raising concern for global emergence.

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Figures

Fig 1
Fig 1
Abdominal magnetic resonance imaging revealed a large hepatic abscess (arrow) with areas of central necrosis.
Fig 2
Fig 2
The Klebsiella pneumoniae isolate from this patient exhibited a hypermucoviscous phenotype, as shown by the positive “string test.” For scale, the internal diameter of the pictured inoculation loop is 3.8 mm.
Fig 3
Fig 3
B-scan ultrasonography of the right eye demonstrated subretinal abscess (A) and retinal detachment (B), indicated by arrows.
See this image and copyright information in PMC

References

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