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Primary Liver Abscess Due to Klebsiella pneumoniae in Taiwan
Open accessAbstract
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.
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Citations
Cited by
Hypervirulent Klebsiella pneumoniae
Russo, T. A., & Marr, C. M. (2019) · Clinical Microbiology Reviews · doi:10.1128/cmr.00001-19 · Cited by 1,311
Russo, T. A., Olson, R., Fang, C.-T., Stoesser, N., Miller, M., MacDonald, U., Hutson, A., Barker, J. H., La Hoz, R. M., Johnson, J. R., et al. (2018) · Journal of Clinical Microbiology · doi:10.1128/jcm.00776-18 · Cited by 783
Self-citationPyogenic Liver Abscess as Endemic Disease, Taiwan
Tsai, F.-C., Huang, Y.-T., Chang, L.-Y., & Wang, J.-T. (2008) · Emerging Infectious Diseases · doi:10.3201/eid1410.071254 · Cited by 361
Self-citationRusso, T. A., Olson, R., MacDonald, U., Beanan, J., & Davidson, B. A. (2015) · Infection and Immunity · doi:10.1128/iai.00430-15 · Cited by 305
Incidence, Risk Factors, and Outcomes of Klebsiella pneumoniae Bacteremia
Meatherall, B. L., Gregson, D., Ross, T., Pitout, J. D. D., & Laupland, K. B. (2009) · The American Journal of Medicine · doi:10.1016/j.amjmed.2009.03.034 · Cited by 291
Metadata
- Authors
- Wang, J., Liu, Y., Lee, S. S., Yen, M., Wang, Y. C., Wann, S., & Lin, H.
- Venue
- Clinical Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 1998-06
- Volume
- 26
- Issue
- 6
- Pages
- 1434-1438
- ISSN
- 1058-4838 (ISSN-L)
- 1537-6591
- OpenAlex
- W2106186343
- Cited by
- 603
- References
- 0
- FWCI
- 4.50
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Wang, J., Liu, Y., Lee, S. S., Yen, M., Wang, Y. C., Wann, S., & Lin, H. (1998). Primary Liver Abscess Due to Klebsiella pneumoniae in Taiwan. Clinical Infectious Diseases. https://doi.org/10.1086/516369
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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