Zhang PJ, Lu ZH, Cao LJ, Chen H, Sun Y. Successful treatment of invasive liver abscess syndrome caused by Klebsiella variicola with intracranial infection and septic shock: A case report. World J Gastrointest Surg 2023; 15(12): 2938-2944 [PMID: 38222021 DOI: 10.4240/wjgs.v15.i12.2938]
Corresponding Author of This Article
Yun Sun, MD, Associate Professor, Chief Doctor, The First Department of Critical Care Medicine, The Second Affiliated Hospital of Anhui Medical University, No. 678 Furong Road, Hefei Economic Development Zone, Hefei 230601, Anhui Province, China. sunyun15@163.com
Research Domain of This Article
Critical Care Medicine
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Dec 27, 2023; 15(12): 2938-2944 Published online Dec 27, 2023. doi: 10.4240/wjgs.v15.i12.2938
Successful treatment of invasive liver abscess syndrome caused by Klebsiella variicola with intracranial infection and septic shock: A case report
Pin-Jie Zhang, Zhong-Hua Lu, Li-Jun Cao, Hu Chen, Yun Sun
Pin-Jie Zhang, Zhong-Hua Lu, Li-Jun Cao, Hu Chen, Yun Sun, The First Department of Critical Care Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei 230601, Anhui Province, China
Author contributions: Zhang PJ, Lu ZH, Cao LJ, Chen H, and Sun Y conceived the idea of the treatment in this case; Zhang PJ drafted the original manuscript; and all authors reviewed the manuscript draft and revised it critically.
Informed consent statement: Informed consent for inclusion in the study or equivalent was obtained from the patient’s family.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yun Sun, MD, Associate Professor, Chief Doctor, The First Department of Critical Care Medicine, The Second Affiliated Hospital of Anhui Medical University, No. 678 Furong Road, Hefei Economic Development Zone, Hefei 230601, Anhui Province, China. sunyun15@163.com
Received: August 29, 2023 Peer-review started: August 29, 2023 First decision: September 29, 2023 Revised: October 11, 2023 Accepted: November 10, 2023 Article in press: November 10, 2023 Published online: December 27, 2023 Processing time: 120 Days and 4 Hours
Abstract
BACKGROUND
Klebsiella variicola (K. variicola) is a member of the Klebsiella genus and is often misidentified as Klebsiella pneumoniae. In this report, we present a rare case of invasive liver abscess caused by K. variicola.
CASE SUMMARY
We report a rare case of liver abscess due to K. variicola. A 57-year-old female patient presented with back pain for a month. She developed a high-grade fever associated with chills, and went into a coma and developed shock. The clinical examinations and tests after admission confirmed a diagnosis of primary liver abscess caused by K. variicola complicated by intracranial infection and septic shock. The patient successfully recovered following early percutaneous drainage of the abscess, prompt appropriate antibiotic administration, and timely open surgical drainage.
CONCLUSION
This is a case of successful treatment of invasive liver abscess syndrome caused by K. variicola, which has rarely been reported. The findings of this report point to the need for further study of this disease.
Core Tip: We report a rare case of liver abscess caused by Klebsiella variicola (K. variicola) complicated by intracranial infection and septic shock. Invasive liver abscess syndrome was mainly caused by Klebsiella pneumoniae in previous reports. The patient successfully recovered following early percutaneous drainage of the abscess, prompt appropriate antibiotic administration, and timely open surgical drainage. Regarding the information in the case, we consider that more attention should be given to K. variicola in clinical practice.
