Journal of Okayama Medical Association
Published by Okayama Medical Association<Availability>
Full-text articles are available 3 years after publication.
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Retroperitoneal abscess that ruptured the aorta： Invasive Klebsiella pneumoniae syndrome
Yamazakia, Kenji
Department of Epidemiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Sakakima, Masanori
Department of Internal Medicine, Fujinomiya City General Hospital
Nagakura, Yuka
Department of Internal Medicine, Fujinomiya City General Hospital
Hashimoto, Hiroyuki
Department of Internal Medicine, Fujinomiya City General Hospital
Tashiro, Takeshi
Department of Internal Medicine, Fujinomiya City General Hospital
Miwa, Masashi
Department of Internal Medicine, Fujinomiya City General Hospital
Yonemura, Katsuhiko
Department of Internal Medicine, Fujinomiya City General Hospital
Published Date
2017-08-01
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)
Note
症例報告 (Case Reports)
DOI
ISSN
0030-1558
NCID
AN00032489
NAID