Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 16, 2022; 10(8): 2474-2483
Published online Mar 16, 2022. doi: 10.12998/wjcc.v10.i8.2474
Fatal community-acquired bloodstream infection caused by Klebsiella variicola: A case report
Da-Li Long, Yu-Hui Wang, Jin-Long Wang, Si-Jie Mu, Li Chen, Xian-Qing Shi, Jian-Quan Li
Da-Li Long, Yu-Hui Wang, Jin-Long Wang, Si-Jie Mu, Li Chen, Xian-Qing Shi, Jian-Quan Li, Intensive Care Unit, Guizhou Provincial People's Hospital, Guiyang 550000, Guizhou Province, China
Jian-Quan Li, NHC Key Laboratory of Pulmonary Immune Related Disease, Guizhou Provincial People's Hospital, Guiyang 550000, Guizhou Province, China
Author contributions: Long DL and Wang YH completed the collection of clinical data; Wang JL, Mu SJ, Chen L, and Shi XQ contributed to the compilation of data and production of charts; Li JQ analyzed all data and wrote the manuscript.
Supported by Science and Technology Fund of Guizhou Provincial Health Commission, No. gzwjkj2019-1-067; and Doctor Foundation of Guizhou Provincial People's Hospital, No. GZSYBS[2019]04.
Informed consent statement: Written informed consent was obtained from the patient’s daughter for publication of this case report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no competing interests to disclose.
CARE Checklist (2016) statement: We 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: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jian-Quan Li, MD, PhD, Reader (Associate Professor), Intensive Care Unit, Guizhou Provincial People's Hospital, No. 52 Baoshan Road, Guiyang 550000, Guizhou Province, China. 401131098@qq.com
Received: June 8, 2021
Peer-review started: June 8, 2021
First decision: September 1, 2021
Revised: September 12, 2021
Accepted: January 29, 2022
Article in press: January 29, 2022
Published online: March 16, 2022
Processing time: 275 Days and 23 Hours
Core Tip

Core Tip: Klebsiella pneumoniae infection leads to worldwide concerns with its high mortality and varied manifestation. However, it is difficult to distinguish Klebsiella pneumoniae from its subspecies using classic clinical examinations. We here report a case who died with Klebsiella subspecies infection within 72 h. This case was diagnosed by genetic detection rather than classic laboratory methods. This case suggests that we should be alert to the clinical hazards and fatal effect of Klebsiella subspecies, classic method is limited in guiding the anti-infection therapy for complex cases, and early genetic detection should be performed in the diagnosis and management of complex infection.