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): 2610-2615
Published online Mar 16, 2022. doi: 10.12998/wjcc.v10.i8.2610
Fatal systemic emphysematous infection caused by Klebsiella pneumoniae: A case report
Jun-Qiang Zhang, Chan-Chan He, Bo Yuan, Rui Liu, Yu-Jing Qi, Zi-Xia Wang, Xiao-Na He, Yu-Min Li
Jun-Qiang Zhang, Chan-Chan He, Bo Yuan, Rui Liu, Yu-Jing Qi, Zi-Xia Wang, Xiao-Na He, Yu-Min Li, Department of General Surgery, Lanzhou University Second Hospital, Lanzhou 730030, Gansu Province, China
Author contributions: Zhang JQ and He CC designed the report; Zhang JQ wrote the manuscript; Liu R and Wang ZX collected the patient’s clinical data; Yuan B, Qi YJ, and He XN were the attending doctors and performed clinical treatment; Li YM revised the paper.
Supported by the National Natural Science Foundation of China, No. 81560480; Health Science Research Program of Gansu Province, No. GSWSKY 2016-19; Ph.D. Science Research Foundation of Lanzhou University Second Hospital, No. ynbskyjj 2015-1-09; and Cuiying Scientific and Technological Innovation Program of Lanzhou University Second Hospital, No. CY 2018-MS13.
Informed consent statement: Informed consent has been obtained and is available from the corresponding author.
Conflict-of-interest statement: All authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: We wrote the manuscript based on 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: Yu-Min Li, MD, PhD, Chief Physician, Professor, Department of General Surgery, Lanzhou University Second Hospital, No. 82 Cuiyingmen Road, Lanzhou 730030, China. liym@lzu.edu.cn
Received: October 17, 2021
Peer-review started: October 17, 2021
First decision: December 3, 2021
Revised: December 26, 2021
Accepted: February 10, 2022
Article in press: February 10, 2022
Published online: March 16, 2022
Processing time: 144 Days and 7.3 Hours
Core Tip

Core Tip: Systemic emphysematous infection caused by Klebsiella pneumoniae is a rare but lethal infection. The combination of emphysematous liver abscess, emphysematous cystitis, prostate and left seminal vesicle abscesses, bacteremia, septic shock and multiple organ dysfunction syndrome are even rarer. The patient simultaneously presented with spontaneous pneumoperitoneum secondary to rupture of the emphysematous liver abscess, which is an extremely rare clinical condition inducing intra-abdominal sepsis that further increases the mortality rate.