Ikki Nokita MD, Yukihito Nakamura MD, Shuntaro Matsuda MD
{"title":"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","authors":"Ikki Nokita MD, Yukihito Nakamura MD, Shuntaro Matsuda MD","doi":"10.1016/j.radcr.2025.08.085","DOIUrl":null,"url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6099-6101"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Invasive pyogenic spondylitis with retropharyngeal and hepatic abscesses caused by hypermucoviscous klebsiella pneumoniae: A radiologic case report\",\"authors\":\"Ikki Nokita MD, Yukihito Nakamura MD, Shuntaro Matsuda MD\",\"doi\":\"10.1016/j.radcr.2025.08.085\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>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.</div></div>\",\"PeriodicalId\":53472,\"journal\":{\"name\":\"Radiology Case Reports\",\"volume\":\"20 12\",\"pages\":\"Pages 6099-6101\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-09-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Radiology Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1930043325008180\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Radiology Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1930043325008180","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Invasive pyogenic spondylitis with retropharyngeal and hepatic abscesses caused by hypermucoviscous klebsiella pneumoniae: A radiologic case report
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.
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.