Volume 8, Number 1—January 2002
Dispatch
Primary Liver Abscess Caused by One Clone of Klebsiella pneumoniae with Two Colonial Morphotypes and Resistotypes
Po-Ren Hsueh*, Juinn-Jong Wu†, Lee-Jene Teng*‡, Yee-Chun Chen*, Chuan-Liang Kao*, Shen-Wu Ho*, and Kwen-Tay Luh*
Table
Clinical characteristics of two diabetic patients with liver abscess and microbiologic characteristics of Klebsiella pneumoniae isolates recovered from them
| Patient designation (age, yr/gender) | Antibiotic treatment (days) | Sources of isolate/ designation | Characteristics of isolates | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Colonial morphotype | Res Resistotype (MIC, mg/mL)a | Bio Biotype | RAPD pattern | ||||||
| AMP | CZ | FOX (CXM) | CTX (CRO) | ||||||
| A (42/M) | Ceftriaxone (10) | Abscess fluid | |||||||
| Imipenem (24) | A1 | Mucoid | 64 | 4 | 16 | 0.12 | I | a/1 | |
| Ciprofloxacin (21) | A2 | Nonmucoid | 128 | 32 | 128 | 1 | I | a/1 | |
| B (66/M) | Cefoxitin (10) | Abscess fluid | |||||||
| Cefotaxime (15 | B1 | Mucoid | 32 | 2 | 4 | 0.06 | I | b/2 | |
| Cefixime (35) | B2 | Nonmucoid | 128 | 32 | 128 | 0.5 | I | b/2 | |
| Blood samples | |||||||||
| B3 | Mucoid | 32 | 2 | 4 | 0.03 | I | b/2 | ||
| B4 | Nonmucoid | 128 | 64 | 256 | 0.5 | I | b/2 | ||
aAMP, ampicillin; CZ, cefazolin; FOX, cefoxitin, CXM, cefuroxime, CTX, cefotaxime, CRO, ceftriaxone.
RAPD = random amplified polymorphic DNA.
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