中华医学杂志(英文版)2007,Vol.120Issue(2):136-139,4.
Pyogenic liver abscess caused by Klebsiella pneumoniae: analysis of the clinical characteristics and outcomes of 84 patients
Pyogenic liver abscess caused by Klebsiella pneumoniae: analysis of the clinical characteristics and outcomes of 84 patients
CHAN Khee-siang 1YU Wen-liang 2TSAI Chi-lun 1CHENG Kuo-chen 1HOU Ching-cheng 1LEE Meng-chih 1TAN Che-kim2
作者信息
- 1. Department of Intensive Care Medicine, Chi Mei Medical Center, Tainan, Taiwan 710, China
- 2. Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan 400, China
- 折叠
摘要
Abstract
Background The increased incidence of pyogenic liver abscess caused by Klebsiella pneumoniae (K. pneumoniae) was reported in the recent literature. This study was conducted retrospectively to investigate the clinical characteristics and outcomes of these patients. Methods Microbiological and medical databases of a medical center were searched from January 2000 to June 2003. Eighty-four patients with liver abscess caused by K. pneumoniae were analyzed. Results In the 84 patients, 52 men and 32 women aged (58.2±13.3) years on average, 64.4% had concomitant diabetes mellitus and 23.8% had biliary disease. The most common clinical symptoms were fever (98.8%), chills (69.0%) and abdominal pain (58.3%). 85.7% of the 84 patients received catheter drainage for the abscess. The length of hospital stay was (17.4±8.7) days. The mortality rate was 7.1%. Older age and presence of biliary disease were associated with mortality.Conclusions The Iow mortality of our patients was probably related to the high proportion of patients who received catheter drainage. Older age and presence of biliary disease were associated with the mortality.关键词
Klebsiella pneumoniae/liver abscess/biliary tract diseaseKey words
Klebsiella pneumoniae/liver abscess/biliary tract disease分类
医药卫生引用本文复制引用
CHAN Khee-siang,YU Wen-liang,TSAI Chi-lun,CHENG Kuo-chen,HOU Ching-cheng,LEE Meng-chih,TAN Che-kim..Pyogenic liver abscess caused by Klebsiella pneumoniae: analysis of the clinical characteristics and outcomes of 84 patients[J].中华医学杂志(英文版),2007,120(2):136-139,4.