The first case of abdominal mycotic aneurysm caused by K1 hypervirulent Klebsiella pneumoniae in a healthy adult

Incidence of hypervirulent Klebsiella pneumoniae (hvKp) infection has been steadily increasing in the Asia-Pacific rim. The characteristic of hvKp infection is its ability to cause multiple site infections and unpredictable metastatic spread in the community. We describe the first case of mycotic an...

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Bibliographic Details
Published in:Acute and critical care 2021, 36(4), , pp.390-394
Main Authors: Kim, Misun, Yoo, Jeong Rae, Oh, Hyunjoo, Kim, Young Ree, Lee, Keun Hwa, Heo, Sang Taek
Format: Article
Language:English
Subjects:
Case Report
hypervirulent
infected aneurysm
liver abscess
metastatic infection
마취과학
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Summary:Incidence of hypervirulent Klebsiella pneumoniae (hvKp) infection has been steadily increasing in the Asia-Pacific rim. The characteristic of hvKp infection is its ability to cause multiple site infections and unpredictable metastatic spread in the community. We describe the first case of mycotic aneurysm caused by hvKp serotype K1 in a previously healthy man and review the literature. Of a total of 13 cases, including our case, three cases were related to hvKp. Among patients with hvKp, the level of mycotic aneurysm in most patients was the infrarenal aorta, and they underwent an aortic graft or coil embolization. All strains were susceptible to most antimicrobial agents, except ampicillin. Early detection of hvKp can help to prevent the metastatic spread of pathogens and be useful for optimal patient care and epidemiologic research.
ISSN:2586-6052
2586-6060
DOI:10.4266/acc.2021.00010