Primary Liver Abscess Due to Klebsiella pneumoniae in Taiwan

Pyogenic liver abscess is an uncommon complication of intra-abdominal or biliary tract infection and is usually a polymicrobial infection associated with high mortality and high rates of relapse. However, over the past 15 years, we have observed a new clinical syndrome in Taiwan: liver abscesses cau...

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Bibliographic Details
Published in:Clinical infectious diseases 1998-06, Vol.26 (6), p.1434-1438
Main Authors: Wang, Jen-Hsien, Liu, Yung-Ching, Lee, Susan Shin-Jung, Yen, Muh-Yong, Chen, Yao-Shen, Wang, Jao-Hsien, Wann, Shue-Ren, Lin, Hsi-Hsun
Format: Article
Language:English
Subjects:
Abscesses
Biological and medical sciences
Catheters
Clinical Articles
Diabetes complications
Diabetes mellitus
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Infections
Klebsiella Infections - etiology
Klebsiella Infections - microbiology
Klebsiella Infections - therapy
Klebsiella pneumoniae
Liver
Liver abscess
Liver Abscess - etiology
Liver Abscess - microbiology
Liver Abscess - therapy
Male
Medical sciences
Middle Aged
Pigtails
Pyogenic liver abscess
Relapse
Risk Factors
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Taiwan
Tropical medicine
Tumors
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Summary:Pyogenic liver abscess is an uncommon complication of intra-abdominal or biliary tract infection and is usually a polymicrobial infection associated with high mortality and high rates of relapse. However, over the past 15 years, we have observed a new clinical syndrome in Taiwan: liver abscesses caused by a single microorganism, Klebsiella pneumoniae. We reviewed 182 cases of pyogenic liver abscess during the period September 1990 to June 1996; 160 of these cases were caused by K. pneumoniae alone, and 22 were polymicrobial. When patients with K. pneumoniae liver abscess were compared with those who had polymicrobial liver abscess, we found higher incidences of diabetes or glucose intolerance (75% vs. 4.5%) and metastatic infections (11.9% vs. 0) and lower rates of intra-abdominal abnormalities (0.6% vs. 95.5%), mortality (11.3% vs. 41%), and relapse (4.4% vs. 41%) in the former group. Liver abscess caused by K. pneumoniae is a new clinical syndrome that has emerged as an important infectious complication in diabetic patients in Taiwan.
ISSN:1058-4838
1537-6591
DOI:10.1086/516369