Volume 18, Number 8—August 2012
Dispatch
Klebsiella pneumoniae in Gastrointestinal Tract and Pyogenic Liver Abscess
Chang-Phone Fung
, Yi-Tsung Lin, Jung-Chung Lin, Te-Li Chen, Kuo-Ming Yeh, Feng-Yee Chang, Han-Chuan Chuang, Hau-Shin Wu, Chih-Peng Tseng, and L. Kristopher Siu
, Yi-Tsung Lin, Jung-Chung Lin, Te-Li Chen, Kuo-Ming Yeh, Feng-Yee Chang, Han-Chuan Chuang, Hau-Shin Wu, Chih-Peng Tseng, and L. Kristopher SiuTable 1
Clinical characteristics of 43 patients with Klebsiella pneumoniae liver abscess, Taiwan, January 2009–December 2010*
| Characteristic | No. (%) patients |
p value | |
|---|---|---|---|
| Serotype K1/K2, n = 33 | Non–K1/K2,† n = 10 | ||
| Sex | 0.89 | ||
| M | 19 (57.6) | 6 (60.0) | |
| F | 14 (42.4) | 4 (40.0) | |
| Symptom/sign | |||
| Fever | 33 (100.0) | 10 (100.0) | |
| Chills | 20 (60.6) | 4 (40.0) | 0.25 |
| RUQ pain/tenderness in abdomen | 31 (94.0) | 9 (90.0) | 0.67 |
| Nausea/vomiting | 10 (30.3) | 3 (30.0) | 0.99 |
| Leukocytosis, >103 cells/μL | 32 (97.0) | 10 (100.0) | 1.00 |
| Complication with distal metastasis | 3 (9.1) | 0 | 0.572 |
| Endophthalmitis | 1 (3.0) | 0 | |
| Meningitis | 1 (3.0) | 0 | |
| Lung abscess | 1 (3.0) | 0 | |
| Underlying disease | |||
| Diabetes mellitus | 20 (60.6) | 5 (50.0) | 0.55 |
| Alcoholism | 2 (6.0) | 1 (10.0) | 0.59 |
| Malignancy | 4 (12.1) | 3 (30.0) | 0.13 |
| CVA | 2 (6.0) | 1(10.0) | 0.59 |
| Biliary tract diseases | 8 (24.2) | 5 (50.0) | 0.12 |
| Liver cirrhosis | 2 (6.0) | 0 | 1.00 |
| COPD | 1 (3.0) | 0 | 1.00 |
| Chronic renal insufficiency | 7 (21.2) | 2 (20.0) | 0.93 |
| HBsAg positive | 2 (6.0) | 0 | 1.00 |
| Deaths | 4 (12.1) | 0 | 0.593 |
*Mean ages of patients were 67.3 for those infected with serotype K1/K2 and 68.6 y for those infected with non-K1/K2. RUQ, right upper quadrant; CVA, cerebrovascular accident; COPD, chronic obstructive pulmonary disease; HBsAg, hepatitis B surface antigen.
†Patients with serotypes K15 (1), K19 (3), K31 (1), K46 (1), K54 (2) and nontypeable (2).
