[Invasive liver abscess syndrome caused by Klebsiella pneumoniae, case series].

Síndrome de absceso hepático invasor por Klebsiella pneumoniae, serie de casos.

Journal

Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia
ISSN: 0717-6341
Titre abrégé: Rev Chilena Infectol
Pays: Chile
ID NLM: 9305754

Informations de publication

Date de publication:
Nov 2020
Historique:
received: 11 08 2020
accepted: 31 08 2020
entrez: 5 1 2021
pubmed: 6 1 2021
medline: 5 3 2021
Statut: ppublish

Résumé

Primary liver abscesses caused by Klebsiella pneumoniae and their related systemic complications produce the invasive liver abscess syndrome due to Klebsiella pneumoniae. To describe the clinical, epidemiological and evolution characteristics in our center. A retrospective cohort of hospitalized adults in Hospital Italiano de Buenos Aires between January 1st, 2001 and May 1st, 2020. We included patients with diagnosis of abscess in any organ with rescue in culture or positive blood culture for Klebsiella pneumoniae. Epidemiological, clinical characteristics and prognosis of those with hepatic primary localization were analyzed. 10 patients were included. Two (20%) patients were Oriental. Median age was 69 years (interquartile range 64-79), nine (90%) were men. The most frequent comorbidity was type 2 diabetes (40%). Four (40%) patients had spread to other organs. The median hospitalization was 21.5 days (IIC 15-43), 60% (n: 6) were hospitalized in the intensive care unit and 30% (n: 3) died. The invasive liver abscess syndrome due to Klebsiella pneumoniae is a rare life-threatening disease. Our study reports the characteristics of patients with this syndrome in our population.

Sections du résumé

BACKGROUND BACKGROUND
Primary liver abscesses caused by Klebsiella pneumoniae and their related systemic complications produce the invasive liver abscess syndrome due to Klebsiella pneumoniae.
AIM OBJECTIVE
To describe the clinical, epidemiological and evolution characteristics in our center.
METHODS METHODS
A retrospective cohort of hospitalized adults in Hospital Italiano de Buenos Aires between January 1st, 2001 and May 1st, 2020. We included patients with diagnosis of abscess in any organ with rescue in culture or positive blood culture for Klebsiella pneumoniae. Epidemiological, clinical characteristics and prognosis of those with hepatic primary localization were analyzed.
RESULTS RESULTS
10 patients were included. Two (20%) patients were Oriental. Median age was 69 years (interquartile range 64-79), nine (90%) were men. The most frequent comorbidity was type 2 diabetes (40%). Four (40%) patients had spread to other organs. The median hospitalization was 21.5 days (IIC 15-43), 60% (n: 6) were hospitalized in the intensive care unit and 30% (n: 3) died.
CONCLUSIONS CONCLUSIONS
The invasive liver abscess syndrome due to Klebsiella pneumoniae is a rare life-threatening disease. Our study reports the characteristics of patients with this syndrome in our population.

Identifiants

pubmed: 33399805
pii: S0716-10182020000500566
doi: 10.4067/S0716-10182020000500566
pii:
doi:

Types de publication

Journal Article

Langues

spa

Sous-ensembles de citation

IM

Pagination

566-569

Auteurs

Martín Ignacio Lapidus (MI)

Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Melisa Altavista (M)

Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Marco Gornatti (M)

Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

André Falcón (A)

Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Marina Alonso Serena (M)

Área de Investigación en Medicina Interna, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

María Belén Bonella (MB)

Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

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Classifications MeSH