Abstract
A nosocomial pyogenic liver abscess caused by an extended-spectrum beta-lactamase-producing Klebsiella pneumoniae isolate presented in a man with adenocarcinoma of the stomach. The K. pneumoniae strain isolated from blood and liver aspirate cultures after antibiotic therapy for recurrent bacteremia was resistant to all extended-spectrum beta-lactams except imipenem and differed from K. pneumoniae strains causing community-acquired liver abscesses.
Publication types
-
Case Reports
-
Research Support, Non-U.S. Gov't
MeSH terms
-
Adenocarcinoma / complications
-
Anti-Bacterial Agents / pharmacology
-
Anti-Bacterial Agents / therapeutic use
-
Bacteremia / drug therapy
-
Bacteremia / microbiology
-
Cross Infection / drug therapy
-
Cross Infection / microbiology*
-
Fatal Outcome
-
Humans
-
Klebsiella Infections / drug therapy
-
Klebsiella Infections / microbiology*
-
Klebsiella pneumoniae / drug effects
-
Klebsiella pneumoniae / enzymology
-
Klebsiella pneumoniae / isolation & purification*
-
Liver Abscess, Pyogenic / drug therapy
-
Liver Abscess, Pyogenic / microbiology*
-
Male
-
Middle Aged
-
Stomach Neoplasms / complications
-
beta-Lactam Resistance
-
beta-Lactamases / metabolism*
Substances
-
Anti-Bacterial Agents
-
beta-Lactamases