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Ampicillin and amoxicillin use and the risk of Klebsiella pneumoniae liver abscess in Taiwan. Clin Infect Dis. Klebsiella pneumoniae-induced multiple invasive abscesses Ko WC, Paterson DL, Sagnimeni AJ, et al. Prostatic abscess of Klebsiellapneumonia complicating septic pulmonary emboli and meningitis: A case report and brief review. Antimicrob Agents Chemother. Clin Infect Dis 2008 Sep 1;47(5):64250. et al. 2017;12(7):515. The purpose of this study was to identify the antibiotic resistance pattern and biofilm-producing capacity of K. Correspondence to The bacterium typically colonizes human mucosal surfaces of the oropharynx and gastrointestinal (GI) tract. J Microbiol Immunol Infect. Also, resistance of K. pneumoniae to cephalosporin (ceftazidime, cefepime and cefotaxime) as seen in this study can also be partly be attributed to the KPC gene because the KPC enzyme hydrolyzes extended-spectrum cephalosporins. Emergence of OXA-48-producing Klebsiella pneumoniae in Taiwan. Klebsiella [klebseeelluh] is a type of gram-negative bacteria that can cause different types of healthcare-associated infections, including pneumonia, It appears as a mucoid lactose fermenter on MacConkey agar . The definition of primary liver abscess can vary between studies. CHINET 2013 surveillance of bacterial resistance in China. Int J Infect Dis. Septic shock was first suspected. Your patient is a 69-year-old man hospitalized with Klebsiella pneumoniae carbapenemase-producing (KPC-Kp) infection. In Fig.1, there is a steady increase in resistance of imipenem over the years and this can be as a result of their increasing use among the populace. A previous study found that only 1 (0.9%) out of 112 patients with K. pneumoniae liver abscess had central nervous system (CNS) involvement [15]. 2018;18(1):6. [21], it was reported that some risk factors associated with K. pneumoniae sepsis and mortality in a neonate intensive care units in Pakistan were; extremely low birth weight (p=0.01, OR 6.1, 95% CI 0.844.4), being a male (p=0.06, OR 9.2, 95% CI 1.366.9), severe thrombocytopenia (p=0.07, OR 3.9, 95% CI 1.213.0), and failure to achieve microbiological clearance (p<0.001, OR 19.6, 95% CI 4.098.0). WebPrevention These common bacteria are usually harmless. Klebsiella pneumoniae 4, Renai Rd., Daan Dist., Taipei City 106, Taipei, Taiwan, Yu Chang,Jiann-Hwa Chen,Wei-Lung Chen&Jui-Yuan Chung, School of Medicine, Fu Jen Catholic University, Taipei, Taiwan, School of Medicine, National Tsing Hua University, Hsinchu, Taiwan, You can also search for this author in Klebsiella pneumoniae can be broadly classified into two subtypes; classical Klebsiella pneumoniae (cKp) and non-classical Klebsiella pneumoniae (ncKp). The optimal treatment option for MDR-KP infections is still not well established. Cefotaxime recorded the highest prevalence (79.2%) followed by aztreonam (73.3%) and cefepime (72.6%). Tian D, Pan F, Wang C, Sun Y, Zhang H. Resistance phenotype and clinical molecular epidemiology of carbapenem-resistant Klebsiella pneumoniae among pediatric patients in Shanghai. Downs SM, van Dyck PC, Rinaldo P, et al. WLC provided essential assistance and gave key advice. Your US state privacy rights, Diverse thrombotic pathologies associated with Klebsiella pneumoniae pathogen as documented in literature were also discussed. infection We report a 58-year-old woman with a past medical history of uncontrolled diabetes who presented with abdominal pain along with swelling in the left third finger and left calf. Several studies have reported that the clinical presentation of K. pneumoniae invasive syndrome can vary widely, depending on the underlying infection site [12,13,14]. The original published articles on the prevalence of drug resistant strains of K. pneumoniae from hospital-acquired infections in some selected countries in Asia were considered. Yu WL, Ko WC, Cheng KC, Lee CC, Lai CC, Chuang YC. HvKp strains can cause serious infections in both immunocompetent, diseased and healthy young individuals [9]. The authors declare that they have no competing interests. Diabetes mellitus or impaired fasting glucose is the major observed risk factor for K. pneumoniae primary liver abscess; these conditions are not major risk factors for liver abscesses caused by organisms other than Klebsiella [1, 20]. The reasons for the predominance of this syndrome in Asian populations are unclear. People with a compromised immune system and/or people who have an implanted medical device (such as a urinary catheter or airway tube) are more at risk for Klebsiella infections. Klebsiella Infections Treatment & Management - Medscape It is essential to design a preparedness plan in order to tackle this public health danger. The problem of antibiotic resistance has become an albatross on the neck of clinicians, veterinarians and other infection control agents in their quest to treat and prevent infections caused by microorganisms that were once thought to have been eradicated with antimicrobials. The most virulent factors utilized by K. pneumoniae are; hypermucoviscous phenotype and mucoviscosity-related genes, genes for biosynthesis of lipopolysaccharide, iron uptake and transport genes and finally, adhesive genes. The emerging problems of Klebsiella pneumoniae infections Klebsiella infection - About the Disease - Genetic and Rare Liu Z, Gu Y, Li X, Liu Y, Ye Y, Guan S, Li J. In particular, Asian patients with diabetes presenting with sepsis and hemiplegia prompt a more thorough evaluation with aggressive treatment. Colonization, infection, and the Accessory Genome of Klebsiella pneumoniae. The detection of carbapenemases is important from an epidemiological perspective as they are plasmid-mediated and may be transferred horizontally between different bacterial species [24]. After secondary full text evaluation, 20 studies or articles (Table1) addressing the prevalence, drug resistant-mediated genes and/or virulent factors in K. pneumoniae in Asia were selected for the final meta-analysis. National Center for Advancing Translational Sciences. Klebsiella is a type of bacteria commonly found in nature. Many rare diseases have limited information. 2010 May;10(5):31728. Please contact GARD if you need help finding additional information or resources on rare diseases, including clinical studies. Liu SW, Chang HJ, Chia JH, Kuo AJ, Wu TL, Lee MH. WebGeneral Information. Molecular characterization of extended-spectrum -lactamases among clinical isolates of Escherichia coli & Klebsiella pneumoniae: a multi-centric study from tertiary care hospitals in India. 2008 May;30(5):86883. Comparison of prevalence of virulence factors for Klebsiella pneumoniae liver abscesses between isolates with capsular K1/K2 and non-K1/K2 serotypes. 1). Related symptoms can include fever and a productive Klebsiella pneumoniae in Singapore: hypervirulent infections and the carbapenemase threat. Terms and Conditions, 2013;17(11):e9615. Klebsiella pneumoniae 2017;41(3):25275. It has been a known human pathogen since it was first isolated in the late nineteenth century by Edwin Klebs. 2002 Dec;95(12):797802. Front Cell Infect Microbiol. Clin Infect Dis. This gene can be used as a molecular marker for quick diagnosis and can also be useful in tracing the roots of emerging infectious diseases caused by K. pneumoniae. Cite this article. 2017;23(8):335. Klebsiella pneumoniae The patient underwent a lumbar puncture to rule out meningitis. Int J Infect Dis. Coureuil M, Join-Lambert O, Lcuyer H, Bourdoulous S, Marullo S, Nassif X. Hypermucoviscous Klebsiella pneumoniae (HvKP) is a hypervirulent strain of Klebsiella that causes metastatic spread and life-threatening infection. Accessibility There are a number of virulence factors that 2002;8:16066. Ling ML, Tee YM, Tan SG, Amin IM, How KB, Tan KY, Lee LC. This review fills the paucity of information on K. pneumoniae as a nosocomial pathogen by providing pooled data on epidemiological risk factors, resistant trends and profiles and resistant and virulent genes of this organism in Asia. Invasive liver abscess syndrome accompanied by spondylodiscitis: a case report and review of the literature. Also, the MagA gene is an important gene used by K. pneumoniae strains to demonstrate an extraordinarily high resistance to human serum and phagocytosis. Most people who contract itwill never experience an infection, but occasionally Klebsiella pneumoniaecan lead to urinary tract infections and other complications. Antibiotic therapy is the mainstay of treatment for most cases of K. pneumoniae invasive syndrome, and empirical broad-spectrum antibiotics should be initiated promptly in suspected cases. We report a rare case of an invasive liver abscess caused by K. pneumoniae, with metastatic infections of meninges. Zhao D, Zuo Y, Wang Z, Li J. Part of The patient unexpectedly became infected with SARS-CoV-2 virus on day 25. Andrade LN, Vitali L, Gaspar GG, Bellissimo-Rodrigues F, Martinez R, Darini AL. WebKlebsiella is a type of bacteria commonly found in nature. According to the multicenter cohort study of 1071 patients 2021 Jun 22;20(1):46. doi: 10.1186/s12941-021-00453-8. Correspondence to Before J Med Microbiol. Patients with sepsis or meningitis may present with fever, altered mental status, and other systemic signs of infection. Lee CR, Lee JH, Park KS, Jeon JH, Kim YB, Cha CJ, Jeong BC, Lee SH. Jpn J Infect Dis. Lancet Infect Dis. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. But if K. pneumoniae gets into other areas of WebKlebsiella pneumoniae is a ubiquitous Gram-negative encapsulated bacterium that resides in the mucosal surfaces of mammals and the environment (soil, water, etc.). Therefore, the aim of this study was to determine the phenotypic and molecular characteristics of ESBL-producing E. coli and K. pneumoniae among Klebsiella pneumoniae Thrombosis, Septic Emboli, and Multiple Abscesses Triggered by The applied keywords included Klebsiella pneumoniae, antibiotic resistance, resistant genes, virulent genes, epidemiological risk factors and Asia. 1972;300(7779):66871. Klebsiella pneumoniae is a type of bacteria that can cause a range of infections. Venous blood gas results were as follows: pH of 7.363, PaCO2 of 26.4 mmHg, PaO2 of 30.8 mmHg, HCO3 of 14.7 mmol/L, and ketone of 5.6 mmol/L. MeSH Klebsiella pneumoniae : an increasing threat to public health There are a number of virulence factors that In Asia, it has been reported that exposure to health care facility and history of previous overseas hospitalization (OR: 33.667; 95% CI 4.539259.700) is one of the notifiable risk factors associated with K. pneumoniae colonization but this had been disagreed by Ling et al. bloodstream infections. meningitis. Bookshelf ID: NBK519004 Excerpt In 1882, Carl Friedlander described Klebsiella pneumoniaefor the first time. Lu Y, Feng Y, McNally A, Zong Z. Thornton A, Lee P. Publication bias in meta-analysis: its causes and consequences. This subtype is non-resistant to most of the commonly used antimicrobials such as colistin and carbapenems. The K. pneumoniae genotype K1 is an emerging pathogen capable of causing catastrophic septic ocular or CNS complications [16]. WebGeneral Information. Diagn Microbiol Infect Dis. 2007;20(3):44058. These numbers in terms of percentage resistance to the various antimicrobials ranges from no isolate (0%) to all isolates (100%). Urine cultures also revealed K. pneumoniae. 2012;45(2):1139. In a study by Saleem et al. Doribax [prescribing information]. A rarer condition is K. pneumoniae meningitis presenting as acute hemiplegia. 2017;5:4. pneumonia. YC and JHC integrated data and wrote the manuscript. [2], this organism accounts for about one-third of all Gram-negative infections such as urinary tract infections, cystitis, pneumonia, surgical wound infections, endocarditis and septicemia. Pyogenic liver abscess has a global distribution, although incidence varies significantly between different Asian countries and non-Asian regions. 2019;8(1):80. Klebsiella pneumoniae Klebsiella pneumoniae bacterial infections outside a hospital are rare but can lead to pneumonia. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. 2016;80(3):62961. Part of Clin Infect Dis. Cookies policy. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Klebsiella pneumoniae is a member of the Klebsiella genus of Enterobacteriaceae and belongs to the normal flora of the human mouth and intestine. Google Scholar. These usually develop in hospital settings. Lancet Infect Dis. The infection is potentially serious. They are normally found in the human intestines where they do not cause disease as well as in human feces. FOIA Prognosis can be improved by early instigation of both antibiotic and steroid treatments [33]. The https:// ensures that you are connecting to the pneumoniae is a well-known human nosocomial pathogen although it appears as the normal flora of the human oral cavity and intestine in most situations ( 1 ). In this review, although there is an increasing trend in the isolation rate, their resistance rates were not in tandem as this was evident in the decreasing trends over the years. Most Klebsiella pneumoniae community-acquired infections result in pneumonia or urinary tract infections. When these bacteria get Microorganisms. Front Microbiol. "While the risk of transmission is extremely low for patients, we continue to take proactive steps to avoid additional transmission, including conducting environmental sampling, updating facility infrastructure, and reviewing cleaning and infection prevention practices," the release states. Phenotypic and molecular characterization of ESBL producing

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