克雷伯氏氧杆菌诱发肝脓肿和横纹肌溶解症的罕见并发症。

IF 1.4 4区医学 Q4 INFECTIOUS DISEASES

Journal of Infection in Developing Countries Pub Date : 2024-07-29 DOI:10.3855/jidc.18984

Valentina Apuzzi, Marta Sodano, Rita Irace, Daniela Caterina Amoruso, Antonio Cozzolino, Alberto Enrico Maraolo, Vincenzo Bassi

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引用次数: 0

摘要

导言：我们报告了一例因严重脱水、肝区疼痛和四肢无力而住院的 76 岁男性病例：对比增强腹部 CT 和对比增强超声波检查发现了一个巨大的肝脓肿。患者接受了经皮脓肿引流术：结果：通过多重聚合酶链反应检验分析的培养检查显示，患者体内存在克雷伯氏菌。实验室报告确定了一种由质粒介导的 SHV-1 广谱-β-内酰胺酶（ESBL）产生的耐药机制：结论：氧乐菌是一种革兰氏阴性菌，可能与多种感染有关。文献中尚未描述过克雷多卡菌引起的肝脓肿与横纹肌溶解症之间的关联。

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A rare association of liver abscess and rhabdomyolysis induced by Klebsiella oxytoca.

Introduction: We report the case of a 76-year-old male who was hospitalized with severe dehydration, pain in the hepatic region, and weakness in the limbs.

Methodology: A contrast-enhanced abdomen CT and a contrast-enhanced ultrasound identified a large liver abscess. The patient underwent percutaneous drainage of the abscess.

Results: The culture examination, analyzed by multiplex polymerase chain reaction test, showed the presence of Klebsiella oxytoca. The laboratory report identified a resistance mechanism involving a plasmid-mediated SHV-1 extended-spectrum-beta-lactamase (ESBL).

Conclusions: K. oxytoca is a Gram-negative bacterium and is potentially associated with a large variety of infections. The association between the liver abscess by K. oxytoca and rhabdomyolysis had not yet been described in the literature.

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来源期刊

Journal of Infection in Developing Countries INFECTIOUS DISEASES-

CiteScore

3.70

自引率

5.30%

发文量

239

审稿时长

4-8 weeks

期刊介绍： The Journal of Infection in Developing Countries (JIDC) is an international journal, intended for the publication of scientific articles from Developing Countries by scientists from Developing Countries. JIDC is an independent, on-line publication with an international editorial board. JIDC is open access with no cost to view or download articles and reasonable cost for publication of research artcles, making JIDC easily availiable to scientists from resource restricted regions.