FATAL GAS-FORMING PYOGENIC LIVER ABSCESS DUE TO Klebsiella pneumoniae

Zhang, Yi; Zang, Guoqing; Tang, Zisheng; Yu, Yehua

doi:10.1590/s0036-46652013000200017

Cited by 5 publications

(4 citation statements)

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“…With regard to laboratory investigations (Table 3 [11][12] and Table 4 [8,[38][39][40][41][42][43][44][45][46][47]), patients with GFPLA-Cp had higher levels of aspartate aminotransferase (AST) (869.20 ± 583.02 IU/L versus 233.12 ± 98.19 IU/L, P=0.007) and alanine aminotransferase (ALT) (609.00 ± 516.26 IU/L versus 199.85 ± 74.93 IU/L, P=0.034) than patients with GFPLA-Kp at hospital admission. However, no statistically significant differences were found in alkaline phosphatase levels between the 2 patient groups.…”

Section: Resultsmentioning

confidence: 99%

“…One hypothesis stated that the prevalence can be explained by the spread of a pathogenic clone [49]. GFPLA has recently emerged as an important infectious disease in Japan, Korea, China, and Australia [8,42,[50][51] . However, the correlation of these pathogenic clones to different regions using molecular typing methods is yet unclear.…”

Section: Discussionmentioning

confidence: 99%

“…Statistical differences were considered significant at a P value ˂0.05. Table 1 [11][12] and Table 2 [8,[38][39][40][41][42][43][44][45][46][47] show the clinical characteristics and laboratory test results of patients with GFPLA-Kp (12 cases) and patients with GFPLA-Cp (24 cases). The mean ages of patients with GFPLA-Kp and patients with GFPLA-Cp were 67.08 ± 10.22 years and 66.70 ± 8.78 years, respectively.…”

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confidence: 99%

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Characteristics of gas-forming pyogenic liver abscess caused by Klebsiella pneumoniae and Clostridi perfringens

Chen¹,

Jiang²,

Guo³

et al. 2019

Preprint

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Background: Gas-forming pyogenic liver abscess is a life-threatening disease with poor prognosis commonly caused by 2 bacteria, Klebsiella pneumoniae and Clostridium perfringens . Due to its low incidence and associated high mortality rate, it is important to study the biological characteristics of the disease. The aim of this study was to conduct a worldwide review of literature on gas-forming pyogenic liver abscess caused by K. pneumoniae and C. perfringens . Methods: We searched PubMed and Web of Science databases from January 2009 to March 2019, with published in English. All relevant articles were accessed in full text. The manual search included references of retrieved articles. Finally, 35 publications were selected for review. Results: The results showed that more cases of gas-forming pyogenic liver abscess in Asia were caused by K. pneumoniae than by C. perfringens (P=0.011). The prevalence of diabetes mellitus in patients with gas-forming pyogenic liver abscess caused by K. pneumoniae was higher than caused by C. perfringens (P=0.032). The survival rate of patients with gas-forming pyogenic liver abscess caused by K. pneumoniae who received surgical debridement or drainage was higher than caused by C. perfringens (P=0.002). Conclusions: The prevalence of diabetes mellitus was higher in patients with gas-forming pyogenic liver abscess caused by K. pneumoniae than in patients caused by C. perfringens .

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Characteristics of gas-forming pyogenic liver abscess caused by Klebsiella pneumoniae and Clostridi perfringens

Chen¹,

Jiang²,

Guo³

et al. 2019

Preprint

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show abstract

“…In part of these PLA, the bacteria causing the infection express formic hydrogen lyase, leading to mixed acid fermentation and gas formation. Etiologically, classical gas-forming bacteria may be involved (such as Clostridia; Kahn et al 1972;Ogah et al 2012), but at least 75 % of all gas-containing PLA have been found to be caused by Escherichia coli and Klebsiella (Zhang et al 2013). Other germs inducing gas-forming PLA are Salmonella enteritidis (Tee Yu et al 2013) and diverse anaerobic bacteria.…”

Section: Complicationsmentioning

confidence: 99%