Absceso hepático a Klebsiella pneumoniae

Amanda Sierra Saldívar; Arturo Adorno; Miguel Ferreira; José Luis Cuevas; Sara Patricia Sosa; Freddy Javier Bruno

Amanda Sierra Saldívar Hospital Nacional, Itauguá.
Arturo Adorno Hospital Nacional, Itauguá.
Miguel Ferreira Hospital Nacional, Itauguá.
José Luis Cuevas Universidad Nacional de Itapúa
Sara Patricia Sosa Universidad Nacional de Itapúa
Freddy Javier Bruno Universidad Nacional de Itapúa

Palabras clave: absceso hepático, absceso esplénico, Klebsiella pneumoniae, diabetes mellitus

Resumen

Se presenta caso de varón, diabético, con fiebre prolongada, ictericia y hepatoesplenomegalia. Por ecografía se constata absceso hepático y esplénico. Fue tratado exitosamente con antibiótico y drenaje percutáneo del absceso hepático. Se aisló Klebsiella pneumoniae en sangre y líquido drenado del hígado.

Citas

Liu Y, Wang JY, Jiang W. An increasing prominent disease of Klebsiella pneumoniae liver abscess: Etiology, diagnosis and treatment. Gastroenterol Res Pract. 2013; 2013: 1-12. ID 258514.

Fang CT, Lai SY, Yi WC, Hsueh PR, Liu KL, Chang SC. Klebsiella pneumoniae genotype K1: An emerging pathogen that causes septic ocular or central nervous system complications from pyogenic liver abscess. Clin Infect Dis. 2007 Aug 1; 45(3): 284-93.

Yu WL, Ko WC, Cheng KC, Lee HC, Ke DS, Lee CC, et al. Association between rmpA and magA genes and clinical syndromes caused by Klebsiella pneumoniae in Taiwan. Clin Infect Dis. 2006 May 15; 42(10): 1351-8.

Yang CC, Yen CH, Ho MW, Wang JH. Comparison of pyogenic liver abscess caused by non-Klebsiella pneumoniae and Klebsiella pneumoniae. J Microbiol Immunol Infect. 2004 Jun; 37(3): 176-84.

Cheng DL, Liu YC, Yen MY, Liu CY, Wang RS. Septic metastatic lesions of pyogenic liver abscess. Their association with Klebsiella pneumoniae bacteremia in diabetic patients. Arch Intern Med. 1991 Aug; 151(8): 1557-9.

McCabe R, Lambert L, Frazee B. Invasive Klebsiella pneumoniae infections, California, USA. Emerg Infect Dis. 2010 Sep; 16(9): 1490-1.

Vila A, Cassata A, Pagella H, Amadio C, Yeh KM, Chang FY, Siu LK. Appearance of Klebsiella pneumoniae liver abscess syndrome in Argentina: case report and review of molecular mechanisms of pathogenesis. Open Microbiol J. 2011; 5: 107-13.

Carrillo Esper R, Soto Hernández JL, Peña Pérez CA, Carrillo Córdova LD, Carrillo Córdova CA, Carrillo Córdova DM. Liver abscess syndrome with lung involvement secondary to hypermucoviscosity Klebsiella pneumoniae. Gac Med Mex. 2013 Jan-Feb; 149(1): 102-7.