Case Report AbstractTermination of a 4-month Serial Klebsiella pneumoniae Septicemia in a Diabetic Woman After Aneurysmectomy in Conjunction With Antimicrobial Therapy
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Case Report
A 68-year-old woman was first hospitalized with the chief complaint of the emergence of a painful neck mass on the right 3 days before. She had an underlying diabetes mellitus and was being treated with oral hypoglycemic agents. Computed tomography (CT) demonstrated a ring-enhanced lesion over her right inferior sternocleidomastoid muscle, indicating an abscess. After drawing blood for culture, cefazolin was used coupled with incision and drainage of the abscess. Blood and abscess cultures both
Dicussion
K pneumoniae is notorious for causing complicated infections such as liver abscess, endophthalmitis, meningitis, lung abscess, and mycotic aneurysm in diabetic patients.1, 2, 3, 4, 5, 6, 7, 8, 11, 12, 13 Why diabetic patients are so vulnerable to K pneumoniae has not been fully understood, although these patients are known to have impaired chemotaxis and phagocytosis of neutrophils.13, 14, 15 Primary liver abscess caused by K pneumoniae has long been an important infectious complications in
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Cited by (1)
Urinary tract infection in diabetes mellitus: An update
2012, Journal of Internal Medicine of Taiwan