Invasive Klebsiella pneumoniae liver abscess syndrome

http://dx.doi.org/10.1016/j.tcmj.2015.11.001 1016-3190/Copyright © 2015, Buddhist Compassion Relief Tzu Chi Foundation. Published (http://creativecommons.org/licenses/by-nc-nd/4.0/). 216 U/L). A standing chest radiograph showed an airefluid level in the right hepatic area (Fig. 1). Subsequent abdominal computed tomography (CT) revealed a gas-forming liver abscess (Fig. 2). Fundus examination showed vitreous haze in the right eye (Fig. 3). Klebsiella pneumoniae was cultured from blood, sputum, and vitreous samples. Invasive K. pneumoniae liver abscess syndrome was diagnosed based on these findings. The patient was advised strict diabetic control, and received systemic antibiotics treatment, repeated intravitreal antibiotics injections, and ultimately hepatic segmentectomy due to failure of CT-guided abscess drainage. He was discharged after 1 month of hospitalization. “Invasive K. pneumoniae liver abscess syndrome” is defined clinically by K. pneumoniae liver abscess with extrahepatic complications. The central nervous system, lungs, and eye are the most commonly involved extrahepatic organs [1]. Hypermucoviscous strains of K. pneumoniae, including K1 or K2 serotypes, are the pathogens [1]. It commonly affects patients of Asian ethnicity or