Abstract:
:The worldwide incidence of Klebsiella pneumoniae liver abscess (KLA) is increasing. It is important to accurately diagnose this life-threatening disease to provide timely and appropriate treatment. Here we report the case of a 38-year-old man with acute renal failure and a tumor-like liver abscess and septic pulmonary embolism. Initially, his clinical symptoms, laboratory tests, and radiological findings presented equivocal results of malignancy with metastases. Fine needle aspiration of liver tumor was performed, which showed purulent material with a culture positive for K pneumoniae. KLA symptoms are atypical, and radiological findings may mimic a malignancy with tumor necrosis. In some circumstances, liver aspiration biopsy may be necessary to confirm the real etiology, leading to prompt and timely treatment. Moreover, we should be alert for the impression of KLA when facing a diabetic patient with liver mass lesion and acute renal failure.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Wang CH,Sun CK,Jiang JS,Tsai MHdoi
10.1097/MD.0000000000003145subject
Has Abstractpub_date
2016-03-01 00:00:00pages
e3145issue
11eissn
0025-7974issn
1536-5964pii
00005792-201603150-00077journal_volume
95pub_type
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