Zhang CG, Duan M, Zhang XY, Wang Y, Wu S, Feng LL, Song LL, Chen XY. Klebsiella pneumoniae infection secondary to spontaneous renal rupture that presents only as fever: A case report. World J Clin Cases 2021; 9(11): 2602-2610 [PMID: 33889626 DOI: 10.12998/wjcc.v9.i11.2602]
Corresponding Author of This Article
Xu-Yan Chen, MD, PhD, Doctor, Department of Emergency Medicine, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, No. 168 Litang Road, Changping District, Beijing 102218, China. cxya00559@btch.edu.cn
Research Domain of This Article
Emergency 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 Clin Cases. Apr 16, 2021; 9(11): 2602-2610 Published online Apr 16, 2021. doi: 10.12998/wjcc.v9.i11.2602
Table 1 Drug susceptibility results of Klebsiella pneumoniae
Antibiotic
Result
Ampicillin
R
Cefazolin
S
Ceftriaxone
S
Ertapenem
S
Imipenem
S
Amikacin
S
Levofloxacin
S
Tigecycline
S
Cefoperazone/Sulbactam
S
Table 2 Characteristics of the case
Item
Description
Result
Gender
Male
6/15 (40%)
Age
Year
(50.13 ± 19.77)
Symptom
Abdominal pain
6/15 (40%)
Frank pain
9/15 (60%)
Cause
Urinary stones
3/15 (20%)
Third trimester
3/15 (20%)
Tumor
1/15 (7%)
Vascular factor
5/15 (33%)
Retention
2/15 (13%)
Idiopathic
1/15 (7%)
Location
Renal pelvis
8/15 (53%)
Renal parenchyma
7/15 (47%)
Anemia
Yes
7/15 (47%)
No
8/15 (53%)
Shock
Yes
5/15 (34%)
No
10/15 (66%)
Treatment
Embolism
2/15 (13%)
Ureteral stent
7/15 (47%)
Puncture drainage
3/15 (20%)
Nephrectomy
2/15 (13%)
Conservative treatment
1/15 (7%)
Prognosis
Death
1/15 (7%)
Recovery
14/15 (93%)
Table 3 Summary of the location of different causes
Option A
Option B
Option C
Total
Renal pelvis
8
0
0
8
Renal parenchyma
0
6
1
6
Total
8
6
1
15
Table 4 Summary of the shock of different causes
Option A
Option B
Option C
Total
Yes
1
4
0
5
No
7
2
1
10
Total
8
6
1
15
Table 5 Summary of the anemia of different causes[20]
Option A
Option B
Option C
Total
Yes
1
6
0
7
No
7
0
1
8
Total
8
6
1
15
Table 6Bahadin J’s research of sensitivity of Klebsiella pneumoniae to first-line antibiotic[19]
Antibiotic
% Sensitivity
Cephalothin
65.5
Cotrimoxazole
69.0
Nalidixicacid
69.0
Ciprofloxacin
72.4
Amoxicilin/clavulanate
82.8
Gentamicin
100.0
Ceftriaxone
86.2
Aztreonam
82.8
Nitrofurantoin
37.9
Piperacilin/tazobactam
89.7
Ertapenem
100.0
Citation: Zhang CG, Duan M, Zhang XY, Wang Y, Wu S, Feng LL, Song LL, Chen XY. Klebsiella pneumoniae infection secondary to spontaneous renal rupture that presents only as fever: A case report. World J Clin Cases 2021; 9(11): 2602-2610