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Review
. 2018 Sep;50(3):210-218.
doi: 10.3947/ic.2018.50.3.210.

Klebsiella pneumoniae Liver Abscess

Jae Bum Jun  1
Affiliations
Review

Klebsiella pneumoniae Liver Abscess

Jae Bum Jun. Infect Chemother. 2018 Sep.

Abstract

Since the mid 1980s, the prevalence of liver abscess caused by hypervirulent Klebsiella pneumoniae strain has increased in Asia, particularly in Taiwan and Korea. This strain is mostly K1 or K2 serotype, and has hypercapsular and hypermucoid phenotypes. Most infections are community acquired, and patients rarely have a hepatobiliary disease prior to infection. Clinical manifestations are characterized by fever and high C-reactive protein, and metastatic infections, such as septic emboli in the lung and endophthalmitis and meningitis are frequently observed. Antibiotic resistance is rare. Antibiotic treatment and abscess drainage are needed, and early diagnosis and treatment of endophthalmitis is also important.

Keywords: C-reactive protein; Klebsiella pneumoniae; Liver Abscess.

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Conflict of interest statement

No conflicts of interest.

Figures

Figure 1
Figure 1. Routes of Infection (adapted from reference 8).
Figure 2
Figure 2. Mucoid phenotype of Klebsiella pneumoniae (adapted from reference 30).
See this image and copyright information in PMC

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