C. Gong, Jie Wang, H. Mao, Cheng Hang, Jianxin Zhu
{"title":"Psoas abscess caused by Klebsiella pneumoniae: report of one case","authors":"C. Gong, Jie Wang, H. Mao, Cheng Hang, Jianxin Zhu","doi":"10.3760/CMA.J.ISSN.0254-9026.2019.09.027","DOIUrl":null,"url":null,"abstract":"近年国内肺炎克雷伯菌感染呈上升趋势，其可引起肝脓肿、脾脓肿、关节脓肿以及眼内炎和脑膜炎等。本文报道肺炎克雷伯菌发生转移性感染引起老年患者腰大肌脓肿一例。临床上在使用敏感抗生素无法控制肺炎克雷伯菌感染时，需警惕全身性感染所致迁徙性病灶可能，应及时行全身评估，积极排查新发感染灶。","PeriodicalId":9997,"journal":{"name":"中华老年医学杂志","volume":"38 1","pages":"1066-1067"},"PeriodicalIF":0.0000,"publicationDate":"2019-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华老年医学杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.0254-9026.2019.09.027","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
In recent years, Klebsiella pneumoniae infection in China has shown an increasing trend, which can cause liver abscess, spleen abscess, joint abscess, as well as endophthalmitis and meningitis. This article reports a case of metastatic infection caused by Klebsiella pneumoniae in an elderly patient with lumbar muscle abscess. When sensitive antibiotics cannot control Klebsiella pneumoniae infection in clinical practice, it is necessary to be vigilant about the possibility of migratory lesions caused by systemic infection, and timely systemic assessment should be conducted to actively identify new infections.
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