Klebsiella pneumoniae infection secondary to spontaneous renal rupture that presents only as fever: A case report

Abstract

BACKGROUND Spontaneous renal rupture is a rare disease in the clinic. The causes of spontaneous renal rupture include extrarenal factors, intrarenal factors, and idiopathic factors. Reports on infection secondary to spontaneous renal rupture and the complications of spontaneous renal rupture are scarce. Furthermore, there are few patients with spontaneous renal rupture who present only with fever. CASE SUMMARY We present the case of a 52-year-old female patient who was admitted to our hospital. She presented only with fever, and the cause of the disease was unclear. She underwent a contrast-enhanced computed tomography (CT) scan, which showed that the left renal capsule had a crescent-shaped, low-density shadow; the perirenal fat was blurred, and exudation was visible with no sign of calculi, malignancies, instrumentation, or trauma. Under ultrasound guidance, a pigtail catheter was inserted into the hematoma, and fluid was drained and used for the bacterial test, which proved the presence of Klebsiella pneumoniae. Two months later, abdominal CT showed that the hematoma was absorbed, so the drainage tube was removed. The abdominal CT was normal after 4 mo. CONCLUSION Spontaneous renal rupture due to intrarenal factors causes a higher proportion of shock and is more likely to cause anemia.

Klebsiella pneumoniae invasion syndrome: a case of liver abscess combined with lung abscess, endophthalmitis, and brain abscess

“…KPIS is usually caused by hvKP and often occurs in people with immune deficiency, such as that caused by diabetes, alcohol abuse, malignant tumours or chronic obstructive pulmonary disease (COPD); and is common in patients undergoing glucocorticoid therapy, especially those with diabetes. 11 , 12 The explanation for this may not only be related to immunodeficiency in patients with diabetes, but also to greater vascular permeability, which is conducive to bacterial invasion. With regard to the ethnicity of patents with KPIS, they are typically Asian.…”

Klebsiella pneumoniae invasive syndrome with liver, lung and brain abscesses complicated with pulmonary fungal infection: a case report and review of the literature

“…(3) In diabetic patients, increased blood sugar leads to peripheral vascular disease, increased permeability of the blood vessel wall, and decreased blood oxygen content in the surrounding tissues. These factors provide favorable conditions for bacterial growth and proliferation [21]. Therefore, diabetic patients infected with K. pneumoniae are prone to hematogenous dissemination, leading to multiple abscesses in locations such as the intracranial region, lungs, and liver.…”

Klebsiella pneumoniae invasive syndrome with liver, lung, and brain abscesses complicated with pulmonary fungal infection: a case report and review of the literature

“…(3) In diabetic patients, increased blood glucose leads to peripheral vascular disease, increased permeability of the blood vessel wall, and decreased blood oxygen content in the surrounding tissues. These factors provide favorable conditions for bacterial growth and proliferation [21]. Therefore, diabetic patients infected with K. pneumoniae are prone to hematogenous dissemination, leading to multiple abscesses in locations such as the intracranial region, lungs, and liver.…”