Title Alternative Retroperitoneal abscess that ruptured the aorta: Invasive Klebsiella pneumoniae syndrome
Author Yamazakia, Kenji| Sakakima, Masanori| Nagakura, Yuka| Hashimoto, Hiroyuki| Tashiro, Takeshi| Miwa, Masashi| Yonemura, Katsuhiko|
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)
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 107
End Page 109
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.107
language 日本語
Copyright Holders Copyright (c) 2017 岡山医学会
File Version publisher
DOI 10.4044/joma.129.107