Klebsiella Pneumoniae Liver Abscess: An Emerging Problem in North America

Pope, Jennifer V.; Teich, Douglas L.; Clardy, Peter; McGillicuddy, Daniel C.

doi:10.1016/j.jemermed.2008.04.041

Cited by 47 publications

(33 citation statements)

References 7 publications

(10 reference statements)

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“…A steady increase in the incidence of Klebsiella liver abscesses (KLAs) in patients with diabetes, malignancy, renal disease or pneumonia has been observed in Taiwan (Fung et al, 2002). Reports of KLAs have also increased in Western and other Asian countries (Pope et al, 2011). Although KLA pathogenic mechanisms remain obscure, several virulence traits, including the vast amount of K1 capsular polysaccharide surrounding the bacteria surface (Fung et al, 2002), magA (Chuang et al, 2006), iron acquisition loci on pLVPK (Tang et al, 2010) and type 1 fimbriae (Struve et al, 2008(Struve et al, , 2009Stahlhut et al, 2012), have been reported.…”

Section: Introductionmentioning

confidence: 99%

FimK regulation on the expression of type 1 fimbriae in Klebsiella pneumoniae CG43S3

Wang

Huang

et al. 2013

Microbiology

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Section: Introductionmentioning

confidence: 99%

FimK regulation on the expression of type 1 fimbriae in Klebsiella pneumoniae CG43S3

Wang

Huang

et al. 2013

Microbiology

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“…[9][10][11][12][13] Pope and colleagues reported that a similar etiological shift, like one seen in our cases, is now occurring in the United States. 21 About 28% of patients with pyogenic liver abscess due to KP also suffer from metastatic complications, and the prostate can be involved. 13 It is logical to postulate that the prostate was not the primary site, but secondary to the pyogenic liver abscess with KP in our cases.…”

Section: Discussionmentioning

confidence: 99%

Klebsiella pneumonia-induced prostate abscess: How to work it up?

Kim

Yang

Kim

2014

CUAJ

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Cite as: Can Urol Assoc J 2014;8(11-12):e841-4. http://dx.doi.org/10.5489/cuaj.2155 Published online November 24, 2014. AbstractIntroduction: Klebsiella pneumonia (KP) is related to a metastatic phenomenon from the originally affected primary organ. About 28% of patients with pyogenic liver abscess arising from KP suffer from metastatic complications. This study was done to define the clinical features of KP-induced prostate abscess. Methods: A total of 14 patients were diagnosed with prostate abscess based on clinical, laboratory examination and abdominopelvic computed tomography (CT) scan from 2007 to 2013. Results: Among these 14 patients, KP was the dominant causative microorganism in 6 patients (42.9%), followed by Esherchia coli in 2, Pseudomonas aeroginosa in 1, methicillin-resistant Staphyolcoccus aureus in 1, and no growth in either the urine or blood culture in 4. Four (66.7%) of the 6 KP induced-prostate abscess had other concurrent abscess sites besides the prostate: liver in 3, kidney in 1, and perianal area with endogenous endophthalmitis that ended in loss of vision in 1 patient. Conclusions: We report on the clinical features of KP-induced prostate abscess based on a small number of patients, which is the main limitation of our study. We believe that if the causative organism of a prostate abscess was KP, more workup would be needed to rule out the presence of an abscess in other organs, especially in the liver. Abdominopelvic CT scan would be a proper imaging modality.

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“…Over the past years, a new type of invasive Klebsiella pneumoniae disease (Klebsiella liver abscess syndrome, KLAS; invasive Klebsiella pneumoniae liver abscess syndrome), which typically manifests as a community-acquired primary liver abscess associated with bacteremia, has been identified, first in Taiwan (Wang et al 1998;Rahimian et al 2004;Lee et al 2010), but then also in other countries (Saccente 1999;Lederman and Crum 2005;Gomez et al 2007;Keynan and Rubinstein 2007;Casella et al 2009;Frazee et al 2009;Pope et al 2011;Fung et al 2012;Moore et al 2013). KLAS is caused by the Klebsiella capsular phenotype K1, magA KP, which confers a unique hypermucoviscous phenotype to the bacterium (see below).…”

Section: Pathogens Causing Plamentioning

confidence: 99%

Liver Abscesses as Pseudotumoral Lesions

Zimmermann¹

2016

Tumors and Tumor-Like Lesions of the Hepatobiliary Tract

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Klebsiella Pneumoniae Liver Abscess: An Emerging Problem in North America

Cited by 47 publications

References 7 publications

FimK regulation on the expression of type 1 fimbriae in Klebsiella pneumoniae CG43S3

FimK regulation on the expression of type 1 fimbriae in Klebsiella pneumoniae CG43S3

Klebsiella pneumonia-induced prostate abscess: How to work it up?

Liver Abscesses as Pseudotumoral Lesions

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