Invasive pyogenic spondylitis with retropharyngeal and hepatic abscesses caused by hypermucoviscous klebsiella pneumoniae: A radiologic case report

Q4 Medicine

Radiology Case Reports Pub Date : 2025-09-20 DOI:10.1016/j.radcr.2025.08.085

Ikki Nokita MD, Yukihito Nakamura MD, Shuntaro Matsuda MD

引用次数: 0

Abstract

Hypermucoviscous Klebsiella pneumoniae (HmKP) is an emerging pathogen with strong invasive potential, particularly in immunocompromised patients. We present the case of an 84-year-old man with type 2 diabetes mellitus who developed systemic infection including liver abscess, retropharyngeal abscess, and cervical pyogenic spondylitis caused by HmKP. Despite clinical improvement with appropriate antibiotics, follow-up MRI demonstrated vertebral collapse. This case highlights the necessity of radiological follow-up in patients with HmKP infections.

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侵袭性化脓性脊柱炎伴咽后及肝脓肿由高黏性肺炎克雷伯菌引起：一个放射学病例报告

高粘滞肺炎克雷伯菌（HmKP）是一种具有强大侵袭潜力的新兴病原体，特别是在免疫功能低下的患者中。我们报告一例84岁男性2型糖尿病患者，他发展为全身感染，包括肝脓肿、咽后脓肿和由HmKP引起的颈椎炎。尽管临床改善，适当的抗生素，后续MRI显示椎体塌陷。本病例强调了对HmKP感染患者进行放射随访的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.