Pyogenic Liver Abscess, Bacteremia, and Meningitis with Hypermucoviscous Klebsiella pneumoniae: An Unusual Case Report in a Human T-Cell Lymphotropic Virus Positive Patient of Caribbean Origin in the United States

Pyogenic Liver Abscess, Bacteremia, and Meningitis with Hypermucoviscous Klebsiella pneumoniae: An Unusual Case Report in a Human T-Cell Lymphotropic Virus Positive Patient of Caribbean Origin in the United States

Pyogenic liver abscess (PLA) is a potentially fatal disease. Klebsiella pneumoniae (K. pneumoniae) has replaced Escherichia coli (E. coli) as the predominant causative organism for pyogenic liver abscess. Over the years a unique form of community-acquired invasive K. pneumoniae infection of the live...

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Main Authors: Gargi Patel, Neha Shah, Roopali Sharma
Format: Article
Language:English
Published: Hindawi Limited 2013-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2013/676340
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spelling doaj-bc8ef0b812f7441ba62d2fa5e3d082c22020-11-24T23:23:02ZengHindawi LimitedCase Reports in Infectious Diseases2090-66252090-66332013-01-01201310.1155/2013/676340676340Pyogenic Liver Abscess, Bacteremia, and Meningitis with Hypermucoviscous Klebsiella pneumoniae: An Unusual Case Report in a Human T-Cell Lymphotropic Virus Positive Patient of Caribbean Origin in the United StatesGargi Patel0Neha Shah1Roopali Sharma2SUNY Downstate Medical Center, Brooklyn, NY 11203, USARockford Infectious Disease Consultants, Chicago, IL 61108, USASUNY Downstate Medical Center, Brooklyn, NY 11203, USAPyogenic liver abscess (PLA) is a potentially fatal disease. Klebsiella pneumoniae (K. pneumoniae) has replaced Escherichia coli (E. coli) as the predominant causative organism for pyogenic liver abscess. Over the years a unique form of community-acquired invasive K. pneumoniae infection of the liver has been well described in Southeast Asia. This has recently been linked to a virulent hypermucoviscous K. pneumoniae phenotype and to a specific genotype, rmpA positive. To our knowledge, we report the first case of PLA with bacteremia and meningitis in a Guyanese patient with the presence of rmpA-positive K. pneumoniae with laboratory evidence in North America.http://dx.doi.org/10.1155/2013/676340
collection DOAJ
language English
format Article
sources DOAJ
author Gargi Patel
Neha Shah
Roopali Sharma
spellingShingle Gargi Patel
Neha Shah
Roopali Sharma
Pyogenic Liver Abscess, Bacteremia, and Meningitis with Hypermucoviscous Klebsiella pneumoniae: An Unusual Case Report in a Human T-Cell Lymphotropic Virus Positive Patient of Caribbean Origin in the United States
Case Reports in Infectious Diseases
author_facet Gargi Patel
Neha Shah
Roopali Sharma
author_sort Gargi Patel
title Pyogenic Liver Abscess, Bacteremia, and Meningitis with Hypermucoviscous Klebsiella pneumoniae: An Unusual Case Report in a Human T-Cell Lymphotropic Virus Positive Patient of Caribbean Origin in the United States
title_short Pyogenic Liver Abscess, Bacteremia, and Meningitis with Hypermucoviscous Klebsiella pneumoniae: An Unusual Case Report in a Human T-Cell Lymphotropic Virus Positive Patient of Caribbean Origin in the United States
title_full Pyogenic Liver Abscess, Bacteremia, and Meningitis with Hypermucoviscous Klebsiella pneumoniae: An Unusual Case Report in a Human T-Cell Lymphotropic Virus Positive Patient of Caribbean Origin in the United States
title_fullStr Pyogenic Liver Abscess, Bacteremia, and Meningitis with Hypermucoviscous Klebsiella pneumoniae: An Unusual Case Report in a Human T-Cell Lymphotropic Virus Positive Patient of Caribbean Origin in the United States
title_full_unstemmed Pyogenic Liver Abscess, Bacteremia, and Meningitis with Hypermucoviscous Klebsiella pneumoniae: An Unusual Case Report in a Human T-Cell Lymphotropic Virus Positive Patient of Caribbean Origin in the United States
title_sort pyogenic liver abscess, bacteremia, and meningitis with hypermucoviscous klebsiella pneumoniae: an unusual case report in a human t-cell lymphotropic virus positive patient of caribbean origin in the united states
publisher Hindawi Limited
series Case Reports in Infectious Diseases
issn 2090-6625
2090-6633
publishDate 2013-01-01
description Pyogenic liver abscess (PLA) is a potentially fatal disease. Klebsiella pneumoniae (K. pneumoniae) has replaced Escherichia coli (E. coli) as the predominant causative organism for pyogenic liver abscess. Over the years a unique form of community-acquired invasive K. pneumoniae infection of the liver has been well described in Southeast Asia. This has recently been linked to a virulent hypermucoviscous K. pneumoniae phenotype and to a specific genotype, rmpA positive. To our knowledge, we report the first case of PLA with bacteremia and meningitis in a Guyanese patient with the presence of rmpA-positive K. pneumoniae with laboratory evidence in North America.
url http://dx.doi.org/10.1155/2013/676340
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AT nehashah pyogenicliverabscessbacteremiaandmeningitiswithhypermucoviscousklebsiellapneumoniaeanunusualcasereportinahumantcelllymphotropicviruspositivepatientofcaribbeanoriginintheunitedstates
AT roopalisharma pyogenicliverabscessbacteremiaandmeningitiswithhypermucoviscousklebsiellapneumoniaeanunusualcasereportinahumantcelllymphotropicviruspositivepatientofcaribbeanoriginintheunitedstates
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