Fatal systemic emphysematous infection caused by Klebsiella pneumoniae:A case report  

作　　者：Jun-Qiang Zhang Chan-Chan He Bo Yuan Rui Liu Yu-Jing Qi Zi-Xia Wang Xiao-Na He Yu-Min Li 

机构地区：[1]Department of General Surgery,Lanzhou University Second Hospital,Lanzhou 730030,Gansu Province,China

出　　处：《World Journal of Clinical Cases》2022年第8期2610-2615,共6页世界临床病例杂志

基　　金：Supported by the National Natural Science Foundation of China;No. 81560480;Health Science Research Program of Gansu Province;No. GSWSKY 2016-19;Ph.D. Science Research Foundation of Lanzhou University Second Hospital;No. ynbskyjj 2015-1-09;Cuiying Scientific and Technological Innovation Program of Lanzhou University Second Hospital;No. CY 2018-MS13

摘　　要：BACKGROUND Systemic emphysematous infection caused by Klebsiella pneumoniae(K.pneumoniae)is a rare but severe infection which can be lethal if the diagnosis is delayed.CASE SUMMARY We report a rare case of systemic emphysematous infection via hematogenous dissemination from a liver abscess caused by K.pneumoniae,complicated by multiple organ dysfunction syndrome,septic shock,bacteremia,emphysematous cystitis,prostate and left seminal vesicle abscesses in a diabetic patient.The patient simultaneously presented with spontaneous pneumoperitoneum secondary to rupture of the emphysematous liver abscess.His condition after admission deteriorated rapidly and he died within a short period.This disease is a great challenge for the clinician as K.pneumoniae can cause multifocal emphysematous infections and fulminant septic shock.Pneumoperitoneum following spontaneous rupture of the liver abscess can result in intra-abdominal sepsis that further increases mortality rate.Moreover,appropriate site-specific intervention and adequate drainage of numerous emphysematous liver lesions are difficult.CONCLUSION Early diagnosis followed by efficient antibiotic therapy and surgical management are essential for systemic emphysematous infection.

关 键 词：Klebsiella pneumoniae Emphysematous liver abscess PNEUMOPERITONEUM Emphysematous cystitis Emphysematous prostate abscess Septic shock 

分 类 号：R563.3[医药卫生—呼吸系统]