A Report of a Case of Klebsiella Pneumoniae Arthritis and a Review of Extrapulmonary Klebsiella Infections

Weber, Richard G.

doi:10.7326/0003-4819-57-2-281

Cited by 18 publications

(3 citation statements)

References 11 publications

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“…Klebsiella pneumoniae ( Kp )— also known as Friedlander's bacillus—was first identified in 1882 as an etiological agent in lobar pneumonia [ 5 ]. It is one of the few Gram-negative bacilli that can cause primary lobar pneumonia leading in many instances to cavitation [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

PrimaryKlebsiella pneumoniaeOsteomyelitis with Bacteremia and Sepsis in a Patient with Cirrhosis

Khatri

Kanaparthy

Selvaraj

et al. 2018

Case Reports in Infectious Diseases

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Osteomyelitis is commonly caused by Staphylococci, Streptococci, Escherichia coli, and anaerobes. There have been cases of rare organisms like Klebsiella pneumoniae (Kp) being initially overlooked as causes of osteomyelitis. We report a case of an elderly cirrhotic adult male transferred for further management of liver failure, who was subsequently diagnosed with Kp osteomyelitis and sepsis. He had a history of blunt leg trauma, and MRI of the leg revealed osteomyelitis, with a negative workup for other sources of infection. Kp osteomyelitis is reported in less than 100 cases, mainly in pediatric and sickle-cell patients. There are no pathognomonic imaging findings. Lesions may be metastatic, with rapid widespread destruction and exuberant periosteal reaction. Kp is a rare, under recognized cause of osteomyelitis in immune-suppressed adults. Given its pathogenicity, early identification is critical.

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Section: Discussionmentioning

confidence: 99%

PrimaryKlebsiella pneumoniaeOsteomyelitis with Bacteremia and Sepsis in a Patient with Cirrhosis

Khatri

Kanaparthy

Selvaraj

et al. 2018

Case Reports in Infectious Diseases

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“…Klebsiella pneumoniae, which is a facultative rod, is the frequent cause of lobular pneumonia in patients with DM (12,13). Extra-pulmonary Klebsiella infections are far less common, and those of the bone and/or neurological system are quite rare (12,14).…”

Section: Pyogenic Spondylitis Should Be Considered Among the Differenmentioning

confidence: 99%

“…Extra-pulmonary Klebsiella infections are far less common, and those of the bone and/or neurological system are quite rare (12,14). Only a few patients with spontaneous spondylitis caused by Klebsiella pneumoniae have been described in the literature (15)(16)(17)(18) …”

Section: Pyogenic Spondylitis Should Be Considered Among the Differenmentioning

confidence: 99%