摘要
Abstract
Objective To investigate the diagnosis and treatment of sepsis and systemic multiple abscess caused by Klebsiella pneumoniae (KP).Methods We retrospectively analyzed clinical data of a patient with sepsis and systemic multiple abscess due to KP infection,and reviewed the relevant literature.Results This patient with a history of diabetes,was hospitalized due to dry mouth,polydipsia,polyuria and weight loss for over 4 months.The blood sugar had a suboptimal response after hypoglycemic treatment.After hospitalization,the patient suffered from sudden fever attributed to increased leukocytes.Following anti-infection treatment,he experienced shortness of breath and blurred vision.An ultrasound exam,CT and routine blood tests,as well as blood culture indicating KP growth revealed a clear diagnosis:KP-induced sepsis and multiple organ abscess,including the liver,lung,kidney and eye.After anti-infection and supportive treatment,symptoms were relieved,and the patient was discharged from hospital.However,the patient was lost to follow-up.Conclusion Clinical symptoms of KP-induced sepsis and multiple abscess are atypical,therefore,timely and rational use of antibiotics as well as early diagnosis and treatment are the key to avoid misdiagnosis.关键词
肺炎克雷伯菌/感染/脓肿/治疗Key words
Klebsiella pneumonia/Infection/Abscess/Therapy分类
医药卫生
