A Case Study of Uncommon Klebsiella Species Infection with Lymphadenopathy

Abstract

Klebsiella pneumoniae is a Gram-negative bacterium known for causing a range of infections, particularly in immunocompromised and hospitalized individuals. However, community-acquired cases, especially in young, healthy individuals, are rare. We present a case study of a 23-year-old female patient with severe Klebsiella pneumonia, has been experiencing recurrent and persistent fever, shortness of breath, weakness, pain in legs and anorexia for the past 3 months and was suspected of having an eating disorder and vomiting. Based on physical, biochemical, CT scan and blood culture, the patient was diagnosed Klebsiella infection. Abdomen sonography report reveals mild Hepatosplenomegaly with liver mildly enlarged and spleen mildly enlarged. The patient was admitted to the hospital and initiated on intravenous antibiotics (Ciprofloxacin and Doxycycline) and fever management. The patient responded well to treatment, with resolution of fever and respiratory distress. After discharge, the patient was advised to follow up for further evaluation. But after a week, she was again affected by fever and diagnosed with lymphadenopathy. Timely diagnosis, appropriate antibiotic therapy, and supportive care can lead to favourable outcomes.