Kazuhiro Tada, Ryoko Shibata, Tsubasa Nakamura, Yoshihiro Kawaguchi, Yuki Nakano, Hidehiro Ishii, Kazuya Ura, Hiroyoshi Yamada, Shinichi Maekawa, Kenji Ito, Kosuke Masutani
Klebsiella pneumoniae (Kpn) is one of the most common gram-negative bacilli causing lung, urinary tract, and biliary tract infections. However, as a distinct entity from classic Kpn, hypervirulent Kpn causing liver abscess, endophthalmitis, and lung abscess with poor prognoses has been reported mainly in East and Southeast Asia since the mid-1980s. Although the definition of hypervirulent Kpn is unclear, the hypermucoviscosity of Kpn is considered an important feature of hypervirulence. We present a case of emphysematous pyelonephritis accompanied by septic shock and acute kidney injury caused by hypermucoviscous Kpn infection that was successfully treated by intensive treatment...
July 12, 2023: Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy