liver abscess in an immunocompetent child
Klebsiella pneumoniae has emerged as a leading pathogen that causes pyogenic liver abscesses (PLAs) in Korea. K. pneumoniae liver abscess (KLA) is potentially life threatening, and the diagnosis is difficult. In developed countries, PLA is rarely observed in children and is frequently associated wit...
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doaj-845eb35b835447fca30f387ecb4eb3b72020-11-24T20:47:23ZengKorean Pediatric SocietyKorean Journal of Pediatrics1738-10612092-72582013-09-0156940741010.3345/kjp.2013.56.9.4072013600017liver abscess in an immunocompetent childJang-Mi Kwon0Hye Lim Jung1Jae Won Shim2Deok Soo Kim3Jung Yeon Shim4Moon Soo Park5Department of Pediatrics, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Pediatrics, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Pediatrics, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Pediatrics, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Pediatrics, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Pediatrics, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.Klebsiella pneumoniae has emerged as a leading pathogen that causes pyogenic liver abscesses (PLAs) in Korea. K. pneumoniae liver abscess (KLA) is potentially life threatening, and the diagnosis is difficult. In developed countries, PLA is rarely observed in children and is frequently associated with disorders of granulocyte function and previous abdominal infection. We observed a case of KLA in a healthy 12-year-old boy. To our knowledge, this is the first reported case of KLA in an immunocompetent child without an underlying disease in Korea. The patient was treated with percutaneous catheter drainage and antibiotics. The catheter was placed in the intrahepatic abscess for 3 weeks and parenteral antibiotics (ceftriaxone and amikacin) were administered for 4 weeks, followed by oral antibiotics (cefixime) for 2 weeks. We reported this case to raise awareness of KLA in immunocompetent children among physicians, and to review the diagnosis, risk factors, potential complications, and appropriate treatment of KLA.http://kjp.or.kr/upload/pdf/kjped-56-407.pdfKlebsiella pneumoniaeLiver AbscessImmunityChild |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jang-Mi Kwon Hye Lim Jung Jae Won Shim Deok Soo Kim Jung Yeon Shim Moon Soo Park |
spellingShingle |
Jang-Mi Kwon Hye Lim Jung Jae Won Shim Deok Soo Kim Jung Yeon Shim Moon Soo Park liver abscess in an immunocompetent child Korean Journal of Pediatrics Klebsiella pneumoniae Liver Abscess Immunity Child |
author_facet |
Jang-Mi Kwon Hye Lim Jung Jae Won Shim Deok Soo Kim Jung Yeon Shim Moon Soo Park |
author_sort |
Jang-Mi Kwon |
title |
liver abscess in an immunocompetent child |
title_short |
liver abscess in an immunocompetent child |
title_full |
liver abscess in an immunocompetent child |
title_fullStr |
liver abscess in an immunocompetent child |
title_full_unstemmed |
liver abscess in an immunocompetent child |
title_sort |
liver abscess in an immunocompetent child |
publisher |
Korean Pediatric Society |
series |
Korean Journal of Pediatrics |
issn |
1738-1061 2092-7258 |
publishDate |
2013-09-01 |
description |
Klebsiella pneumoniae has emerged as a leading pathogen that causes pyogenic liver abscesses (PLAs) in Korea. K. pneumoniae liver abscess (KLA) is potentially life threatening, and the diagnosis is difficult. In developed countries, PLA is rarely observed in children and is frequently associated with disorders of granulocyte function and previous abdominal infection. We observed a case of KLA in a healthy 12-year-old boy. To our knowledge, this is the first reported case of KLA in an immunocompetent child without an underlying disease in Korea. The patient was treated with percutaneous catheter drainage and antibiotics. The catheter was placed in the intrahepatic abscess for 3 weeks and parenteral antibiotics (ceftriaxone and amikacin) were administered for 4 weeks, followed by oral antibiotics (cefixime) for 2 weeks. We reported this case to raise awareness of KLA in immunocompetent children among physicians, and to review the diagnosis, risk factors, potential complications, and appropriate treatment of KLA. |
topic |
Klebsiella pneumoniae Liver Abscess Immunity Child |
url |
http://kjp.or.kr/upload/pdf/kjped-56-407.pdf |
work_keys_str_mv |
AT jangmikwon liverabscessinanimmunocompetentchild AT hyelimjung liverabscessinanimmunocompetentchild AT jaewonshim liverabscessinanimmunocompetentchild AT deoksookim liverabscessinanimmunocompetentchild AT jungyeonshim liverabscessinanimmunocompetentchild AT moonsoopark liverabscessinanimmunocompetentchild |
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