Invasive Klebsiella pneumoniae Liver Abscess with Multiple Septic Metastatic Complications – Case Report and Review of Literature

Abstract

Klebsiella pneumoniae is a common bacterial pathogen that is known to cause diverse community acquired and nosocomial infections [1,2]. These infections commonly occur in hospitalized individuals with impaired host defenses [3]. However the proportion of community acquired vs nosocomial infection has markedly increased in recent years [4]. A community acquired syndrome of cryptogenic invasive Klebsiella pneumoniae Liver Abscess Syndrome (CIKPLA) has been known to typically affect individuals of Southeast Asian origin, and is complicated by devastating septic spread to other organs [5]. We report a case of community acquired invasive Klebsiella pneumoniae infection with multi organ involvement in an individual of non-Asian origin. The aim of this case report is to alert clinicians about increasing prevalence of CIKPLA syndrome, its different clinical presentations and occurrence in different populations suggesting a need for increased vigilance for early diagnosis and prompt management to prevent disastrous sequelae.