Jul 2026· Journal of Rural Medicine· Vol 21, pp. 321 - 325· 0 citations· 15 references
Medicine
TL;DR
A 75-year-old woman who presented with a hypoechoic liver mass and a two-week history of frequent urination, low-grade fever, and fatigue for 2 weeks highlights that invasive liver abscess syndrome should be considered in patients with K. pneumoniae infection and that liver abscesses should be treated promptly in patients with extrahepatic symptoms.
Abstract
Objective: We report the case of a 75-year-old woman who presented with a hypoechoic liver mass and a two-week history of frequent urination, low-grade fever, and fatigue for 2 weeks. Case report: A liver abscess was diagnosed based on an elevated inflammatory response and imaging findings, and was drained percutaneously. Klebsiella pneumoniae was isolated from both the urine and pus cultures, indicating an invasive infection secondary to a urinary tract source. The following day, the patient experienced ocular pain, blurred vision, and conjunctival hyperemia and was diagnosed and treated for endophthalmitis. After treatment, she became blind in the right eye; however, her vision in the left eye was preserved. Conclusion: This case highlights that invasive liver abscess syndrome should be considered in patients with K. pneumoniae infection and that liver abscesses should be treated promptly in patients with extrahepatic symptoms.
Endogenous endophthalmitis is a rare but severe intraocular infection caused by hematogenous spread from distant infectious foci and is often associated with poor visual outcomes. Klebsiella pneumoniae is an important pathogen responsible for invasive infections with bacteremia and metastatic complications. Although li...
Takanori Mochizuki, N. Sawada, Yuichiro Nakamura et al.· Journal of Infection and Che...· 0 citations
A 77-year-old woman who presented with fever and right upper quadrant abdominal pain was diagnosed with a second episode of PLA within 3 months, caused by hypervirulent Kp, and whole-genome sequencing identified the isolate as hypervirulent Kp (hvKp) sequence type 23 (ST23).
Laura Veinberga, Anna Elizabete Liepina, I. Markevica et al.· International journal of sur...· 0 citations
Yersinia enterocolitica
infection-induced liver abscess is extremely rare in clinical practice. It is usually only seen in specific high-risk groups, such as those with iron overload (such as hemochromatosis patients), immunosuppression (such as those undergoing chemotherapy, organ transplantation, or HIV infection)...
Huan-Huan Lin, Yu-Xiang Liu, Peng Ding et al.· Frontiers in Medicine· 0 citations
Purpose: To report a rare case of Klebsiella pneumoniae endogenous endophthalmitis complicated by iris abscess formation secondary to a septic urinary tract infection and liver abscess. Methods: A single case was reviewed. Results: A 57-year-old man with diabetes mellitus developed acute vision loss shortly after hospi...
Ava Romerosa, Luke B. Farson, Nimesh A. Patel et al.· Journal of VitreoRetinal Dis...· 0 citations
Klebsiella pneumoniae is a common pathogen of pyogenic liver abscess (PLA), particularly among individuals with diabetes mellitus and those of Asian ethnicity. A 32-year-old Filipino man with no prior medical history presented with fever, headache, nausea, and vomiting and was found to have new-onset diabetic ketoacido...
L. P. Y. Miño, M. Calvopiña, J. Saa et al.· Journal of Medical Cases· 0 citations
Background: Liver abscesses are uncommon but potentially life-threatening conditions that may arise from bacterial, parasitic, or mycobacterial infections. Concurrent infection with amebic, pyogenic, and tuberculous organisms within a single hepatic abscess is exceedingly rare and presents a major diagnostic and therap...
Akansha Jain, F. Tauheed, Vijender Verma et al.· International Journal of Hea...· 0 citations
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