Journal of Okayama Medical Association
Published by Okayama Medical Association

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Klebsiella pneumoniae を起因菌とした後腹膜膿瘍からの 炎症波及により腹部大動脈破裂に至った一例

Yamazakia, Kenji Department of Epidemiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Sakakima, Masanori Department of Internal Medicine, Fujinomiya City General Hospital
Nagakura, Yuka Department of Internal Medicine, Fujinomiya City General Hospital
Hashimoto, Hiroyuki Department of Internal Medicine, Fujinomiya City General Hospital
Tashiro, Takeshi Department of Internal Medicine, Fujinomiya City General Hospital
Miwa, Masashi Department of Internal Medicine, Fujinomiya City General Hospital
Yonemura, Katsuhiko Department of Internal Medicine, Fujinomiya City General Hospital
Abstract
An 80-year-old Japanese man was admitted to our hospital in April 2016 with an acute high-grade fever and back pain. A systemic contrast-enhanced computed tomography scan disclosed a retroperitoneal abscess around his aorta. The blood culture revealed Klebsiella pneumoniae. Antibiotics (Cefotaxime 1 g i.v. q 6 hours) were administered, but the patient's symptoms worsened. The abscess then ruptured the aorta. An emergency surgical repair was done, and the patient recovered. Invasive Klebsiella pneumoniae syndrome has been detected in southeast Asia over the past two decades, and here we describe a rare case of a retroperitoneal abscess caused by Klebsiella pneumoniae that ruptured the aorta.
Keywords
invasive Klebsiella pneumoniae syndrome
腹部大動脈破裂 (ruptured abdominal aorta)
後腹膜膿瘍 (retroperitoneal abscess)
Note
症例報告 (Case Reports)
ISSN
0030-1558
NCID
AN00032489
DOI