Journal of Okayama Medical Association
Published by Okayama Medical Association

Full-text articles are available 3 years after publication.

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

山崎 賢士 岡山大学大学院医歯薬学総合研究科 疫学衛生学
榊間 昌哲 富士宮市立病院 内科
長倉 優花 富士宮市立病院 内科
橋本 紘幸 富士宮市立病院 内科
田代 傑 富士宮市立病院 内科
三輪 真史 富士宮市立病院 内科
米村 克彦 富士宮市立病院 内科
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.
invasive Klebsiella pneumoniae syndrome
腹部大動脈破裂 (ruptured abdominal aorta)
後腹膜膿瘍 (retroperitoneal abscess)
症例報告 (Case Reports)