Citation Information :
Subramanian N, Ranganathan U, Rangasamy G, Thiyagarajan M, Shivekar SS. Pyogenic liver abscess due to multidrug-resistant Klebsiella pneumoniae. 2021; 23 (2):85-87.
Pyogenic liver abscess (PLA) is a space-occupying lesion in the liver associated with high morbidity and mortality. There are many risk factors associated with PLA such as underlying hepatobiliary disease, gastrointestinal malignancy, diabetes mellitus and alcoholism. Most PLA cases are polymicrobial caused by mixed enteric facultative and obligate anaerobic bacteria. Here, we present a case of multiple liver abscess caused by Klebsiella pneumoniae in a 46-year-old elderly patient who presented with gastrointestinal symptoms.
Ochsner A, DeBakey M, Murray S. Pyogenic abscess of the liver II. An analysis of forty-seven cases with review of the literature. Am J Surg 1938;XL: 292-319.
Singh A, Banerjee T, Kumar R, Shukla SK. Prevalence of cases of amebic liver abscess in a tertiary care centre in India: A study on risk factors, associated microflora and strain variation of Entamoeba histolytica. PLoS One 2019;14:e0214880.
Chen CH, Wu SS, Chang HC, Chang YJ. Initial presentations and final outcomes of primary pyogenic liver abscess: A cross-sectional study. BMC Gastroenterol 2014;14:133.
Rahimian J, Wilson T, Oram V, Holzman RS. Pyogenic liver abscess: Recent trends in etiology and mortality. Clin Infect Dis 2004;39:1654-9.
Huang CJ, Pitt HA, Lipsett PA, Osterman FA Jr., Lillemoe KD, Cameron JL, et al. Pyogenic hepatic abscess. Changing trends over 42 years. Ann Surg 1996;223:600-7.
Heneghan HM, Healy NA, Martin ST, Ryan RS, Nolan N, Traynor O, et al. Modern management of pyogenic hepatic abscess: A case series and review of the literature. BMC Res Notes 2011;4:80.
Thomsen RW, Jepsen P, Sørensen HT. Diabetes mellitus and pyogenic liver abscess: Risk and prognosis. Clin Infect Dis 2007;44:1194-201.
Wang YC, Yang KW, Lee TP, Lin CL, Liaw GW, Hung DZ, et al. Increased risk of pyogenic liver abscess in patients with alcohol intoxication: A population-based retrospective cohort study. Alcohol 2017;64:23-8.
Bosanko NC, Chauhan A, Brookes M, Moss M, Wilson PG. Presentations of pyogenic liver abscess in one UK centre over a 15-year period. J R Coll Physicians Edinb 2011;41:13-7.
Cerwenka H. Pyogenic liver abscess: Differences in etiology and treatment in Southeast Asia and Central Europe. World J Gastroenterol 2010;16:2458-62.
Xu M, Fu Y, Kong H, Chen X, Chen Y, Li L, et al. Bloodstream infections caused by Klebsiella pneumoniae: Prevalence of blaKPC, virulence factors and their impacts on clinical outcome. BMC Infect Dis 2018;18:358.
Lodhi S, Sarwari AR, Muzammil M, Salam A, Smego RA. Features distinguishing amoebic from pyogenic liver abscess: A review of 577 adult cases. Trop Med Int Health 2004;9:718-23.
