2019
DOI: 10.1016/j.idcr.2019.e00547
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Hypermucoviscous Klebsiella pneumoniae: A challenge in community acquired infection

Abstract: Highlights Description of 4 cases outside Asia of invasive infection by hypervirulent K. pneumoniae. These are patients from the community without any type of epidemiological background or previous trips to the endemic area. Unlike other series in our case, these are patients without one of the classic risk factors: no patient is diabetic. Patients present both serotype K1 and K2, not finding a prevalent serotype in our series.

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Cited by 49 publications
(42 citation statements)
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“…The Gram-negative bacillus K. pneumoniae is a leading cause of healthcare-associated infections, including urinary tract infections, surgical sites infections, soft tissues infections, bacteremia and pneumonia [11]. In the 1980s, case reports from Taiwan described community acquired liver abscesses caused by hvKp in patients with serious concomitant endorgan manifestations, such as meningitis and endophthalmitis [12]. Since the first report in Taiwan, hvKPs have been observed with increasing frequency in many countries in Asia, Europe and America [12].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The Gram-negative bacillus K. pneumoniae is a leading cause of healthcare-associated infections, including urinary tract infections, surgical sites infections, soft tissues infections, bacteremia and pneumonia [11]. In the 1980s, case reports from Taiwan described community acquired liver abscesses caused by hvKp in patients with serious concomitant endorgan manifestations, such as meningitis and endophthalmitis [12]. Since the first report in Taiwan, hvKPs have been observed with increasing frequency in many countries in Asia, Europe and America [12].…”
Section: Discussionmentioning
confidence: 99%
“…In the 1980s, case reports from Taiwan described community acquired liver abscesses caused by hvKp in patients with serious concomitant endorgan manifestations, such as meningitis and endophthalmitis [12]. Since the first report in Taiwan, hvKPs have been observed with increasing frequency in many countries in Asia, Europe and America [12]. It is well known that hvKp can invade many organs in patient, including liver.…”
Section: Discussionmentioning
confidence: 99%
“…Klebsiella pneumoniae , a Gram-negative bacteria, causes ample number of life-threating diseases, including pneumonia, urinary tract infection, cystitis, endocarditis, sepsis, and blood stream infections and are the leading source of hospital acquired (nosocomial) infections ( Paczosa and Mecsas, 2016 ). They are also the leading cause of the worst community-acquired infections like pyogenic liver abscesses, endogenous endophthalmitis, and necrotizing pneumoniae ( Sánchez-López et al, 2019 ). The main reservoirs of K. pneumoniae are the gastrointestinal tract and medical personnel and equipment ( Podschun and Ullmann, 1998 ).…”
Section: Introductionmentioning
confidence: 99%
“…The Gram-negative bacillus K. pneumoniae is a leading cause of healthcare-associated infections, including urinary tract infections, surgical sites infections, soft tissues infections, bacteremia and pneumonia [18]. In the 1980s, case reports from Taiwan described community acquired liver abscesses caused by hvKp in patients with serious concomitant endorgan manifestations, such as meningitis and endophthalmitis [19]. Since the first report in Taiwan, hvKPs have been observed with increasing frequency in many countries in Asia, Europe and America [19].…”
Section: Discussionmentioning
confidence: 99%
“…In the 1980s, case reports from Taiwan described community acquired liver abscesses caused by hvKp in patients with serious concomitant endorgan manifestations, such as meningitis and endophthalmitis [19]. Since the first report in Taiwan, hvKPs have been observed with increasing frequency in many countries in Asia, Europe and America [19]. It is well known that hvKp can invade many organs in patient, including liver.…”
Section: Discussionmentioning
confidence: 99%