Pyogenic Liver Abscess, Bacteremia, and Meningitis with Hypermucoviscous Klebsiella pneumoniae: An Unusual Case Report in a Human T-Cell Lymphotropic Virus Positive Patient of Caribbean Origin in the United States. (30th December 2013)

• Record Type: Journal Article
• Authors: Patel, Gargi; Shah, Neha; Sharma, Roopali
• Other Names: Cirillo D. M. Academic Editor.; Palazzi D. L. Academic Editor.
• Is Part Of: Case reports in infectious diseases. Volume 2013(2013)
• Publication Date: 2013-12-30
• Subjects: Communicable diseases -- Periodicals; Communicable diseases -- Case studies -- Periodicals; Communicable Diseases; Infectious Disease Medicine; Communicable diseases; Electronic journals; Periodicals; Case studies; Periodicals; 616.9
• DOI: 10.1155/2013/676340
• Languages: English
• ISSNs: 2090-6625

Abstract

Abstract : Pyogenic liver abscess (PLA) is a potentially fatal disease. Klebsiella pneumoniae ( K. pneumoniae ) has replaced Escherichia coli ( E. coli ) as the predominant causative organism for pyogenic liver abscess. Over the years a unique form of community-acquired invasive K. pneumoniae infection of the liver has been well described in Southeast Asia. This has recently been linked to a virulent hypermucoviscous K. pneumoniae phenotype and to a specific genotype, rmpA positive. To our knowledge, we report the first case of PLA with bacteremia and meningitis in a Guyanese patient with the presence of rmpA -positive K. pneumoniae with laboratory evidence in North America.