A case of severe septic arthritis and multiple metastases associated with <i>Klebsiella pneumoniae</i> liver abscess

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  • Yamauchi Masami
    Center for Community Medicine Support, Hiroshima Prefectural Hospital
  • Miyamoto Masaki
    Center for Community Medicine Support, Hiroshima Prefectural Hospital
  • Kitamoto Mikiya
    Department of Gastroenterology, Hiroshima Prefectural Hospital
  • Murakami Yuji
    Department of Orthopedic Surgery, Hiroshima Prefectural Hospital
  • Kamei Goki
    Department of Orthopedic Surgery, Hiroshima Prefectural Hospital
  • Kuwabara Masao
    Center for Community Medicine Support, Hiroshima Prefectural Hospital

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Other Title
  • 重症の化膿性膝関節炎と多臓器播種を合併した<i>Klebsiella pneumoniae</i>肝膿瘍の1例
  • ショウレイ ホウコク ジュウショウ ノ カノウセイ ヒザカンセツエン ト タゾウキ ハシュ オ ガッペイ シタ Klebsiella pneumoniae カン ノウヨウ ノ 1レイ

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Abstract

A 68-year-old man who had diabetes mellitus, was referred to our hospital because of a one-week history of fever and knee joint pain. Both synovial fluid and blood culture were positive for Klebsiella pneumoniae. Computed tomography revealed a liver abscess. We made a diagnosis of K.pneumoniae liver abscess and metastatic septic arthritis of the knee. Although liver abscess and accompanying multiple metastatic lesions in kidney, prostate gland, lung, were successfully treated with antibiotics, the knee joint infection was resistant to antibiotics and arthroscopic drainage. It required open surgery for debridement of synovium and cartilage, and then caused serious joint dysfunction.<br>

Journal

  • Kanzo

    Kanzo 53 (12), 839-845, 2012

    The Japan Society of Hepatology

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