PT  - JOURNAL ARTICLE
AU  - Mushira A. Enani
AU  - Noura A. El-Khizzi
TI  - Community acquired Klebsiella pneumoniae, K1 serotype. Invasive liver abscess with bacteremia and endophthalmitis
DP  - 2012 Jul 01
TA  - Saudi Medical Journal
PG  - 782--786
VI  - 33
IP  - 7
4099  - http://smj.org.sa/content/33/7/782.short
4100  - http://smj.org.sa/content/33/7/782.full
SO  - Saudi Med J2012 Jul 01; 33
AB  - A community-acquired syndrome of cryptogenic invasive Klebsiella pneumoniae (K. pneumoniae) liver abscess (CIKPLA) has been emerging worldwide over the past 3 decades, particularly in Taiwan and Korea. It is caused by highly virulent hypermucoviscous, rmpA positive K. pneumoniae serotype K1. This condition occurs in predominantly diabetic persons with no underlying hepatobiliary disease. Metastatic infections of the brain, meninges, lungs, pleura, bones, soft tissues, and eyes are unique features of this syndrome. We report a laboratory-confirmed regulator of mucoid phenotype (rmp)A-positive, K1 serotype K. pneumoniae from Saudi Arabia in 2 diabetic native Saudis presenting with community acquired, invasive liver abscess complicated in one by endogenous endophthalmitis. Following medical and surgical treatment, both patients were cured from liver abscesses, however there was unilateral permanent visual loss in one patient.