Abstract
Pyogenic liver abscess is an uncommon complication of intra-abdominal or biliary tract infection and is usually a polymicrobial infection associated with high mortality and high rates of relapse. However, over the past 15 years, we have observed a new clinical syndrome in Taiwan: liver abscesses caused by a single microorganism, Klebsiella pneumoniae. We reviewed 182 cases of pyogenic river abscess during the period September 1990 to June 1996; 160 of these cases were caused by K. pneumoniae alone, and 22 were polymicrobial. When patients with K. pneumoniae liver abscess were compared with those who had polymicrobial liver abscess, we found higher incidences of diabetes or glucose intolerance (75% vs. 4.5%) and metastatic infections (11.9% vs. 0) and lower rates of intra-abdominal abnormalities (0.6% vs. 95.5%), mortality (11.3% vs. 41%), and relapse (4.4% vs. 41%) in the former group. Liver abscess caused by K. pneumoniae is a new clinical syndrome that has emerged as an important infectious complication in diabetic patients in Taiwan.
| Original language | English |
|---|---|
| Pages (from-to) | 1434-1438 |
| Number of pages | 5 |
| Journal | Clinical Infectious Diseases |
| Volume | 26 |
| Issue number | 6 |
| Publication status | Published - 1998 |
| Externally published | Yes |
Fingerprint
ASJC Scopus subject areas
- Immunology
Cite this
Primary liver abscess due to Klebsiella pneumoniae in Taiwan. / Wang, Jen Hsien; Liu, Yung Ching; Lee, Susan Shin Jung; Yen, Muh Yong; Chen, Yao Shen; Wang, Jao Hsien; Wann, Shuc Ren; Lin, Hsi Hsun.
In: Clinical Infectious Diseases, Vol. 26, No. 6, 1998, p. 1434-1438.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Primary liver abscess due to Klebsiella pneumoniae in Taiwan
AU - Wang, Jen Hsien
AU - Liu, Yung Ching
AU - Lee, Susan Shin Jung
AU - Yen, Muh Yong
AU - Chen, Yao Shen
AU - Wang, Jao Hsien
AU - Wann, Shuc Ren
AU - Lin, Hsi Hsun
PY - 1998
Y1 - 1998
N2 - Pyogenic liver abscess is an uncommon complication of intra-abdominal or biliary tract infection and is usually a polymicrobial infection associated with high mortality and high rates of relapse. However, over the past 15 years, we have observed a new clinical syndrome in Taiwan: liver abscesses caused by a single microorganism, Klebsiella pneumoniae. We reviewed 182 cases of pyogenic river abscess during the period September 1990 to June 1996; 160 of these cases were caused by K. pneumoniae alone, and 22 were polymicrobial. When patients with K. pneumoniae liver abscess were compared with those who had polymicrobial liver abscess, we found higher incidences of diabetes or glucose intolerance (75% vs. 4.5%) and metastatic infections (11.9% vs. 0) and lower rates of intra-abdominal abnormalities (0.6% vs. 95.5%), mortality (11.3% vs. 41%), and relapse (4.4% vs. 41%) in the former group. Liver abscess caused by K. pneumoniae is a new clinical syndrome that has emerged as an important infectious complication in diabetic patients in Taiwan.
AB - Pyogenic liver abscess is an uncommon complication of intra-abdominal or biliary tract infection and is usually a polymicrobial infection associated with high mortality and high rates of relapse. However, over the past 15 years, we have observed a new clinical syndrome in Taiwan: liver abscesses caused by a single microorganism, Klebsiella pneumoniae. We reviewed 182 cases of pyogenic river abscess during the period September 1990 to June 1996; 160 of these cases were caused by K. pneumoniae alone, and 22 were polymicrobial. When patients with K. pneumoniae liver abscess were compared with those who had polymicrobial liver abscess, we found higher incidences of diabetes or glucose intolerance (75% vs. 4.5%) and metastatic infections (11.9% vs. 0) and lower rates of intra-abdominal abnormalities (0.6% vs. 95.5%), mortality (11.3% vs. 41%), and relapse (4.4% vs. 41%) in the former group. Liver abscess caused by K. pneumoniae is a new clinical syndrome that has emerged as an important infectious complication in diabetic patients in Taiwan.
UR - http://www.scopus.com/inward/record.url?scp=0031866509&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0031866509&partnerID=8YFLogxK
M3 - Article
C2 - 9636876
AN - SCOPUS:0031866509
VL - 26
SP - 1434
EP - 1438
JO - Clinical Infectious Diseases
JF - Clinical Infectious Diseases
SN - 1058-4838
IS - 6
ER -