A case of emphysematous pyelonephritis caused by the hypermucoviscosity phenotype of Klebsiellapneumoniae

A 70-year-old woman presented to our hospital with 38.2 °C fever. She was diagnosed with high-risk emphysematous pyelonephritis caused by string test-positive Klebsiella pneumoniae and treated with multidisciplinary therapy. The patient developed pyogenic spondylitis during the course of the disease...

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Detalles Bibliográficos
Autores principales: Kawaguchi, Yoshihiro, Tada, Kazuhiro, Shibata, Ryoko, Ishii, Hidehiro, Ito, Naoki, Igawa, Tsukasa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Inflammation and Infection
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9723515/
https://www.ncbi.nlm.nih.gov/pubmed/36483448
http://dx.doi.org/10.1016/j.eucr.2022.102290
Descripción
Sumario:A 70-year-old woman presented to our hospital with 38.2 °C fever. She was diagnosed with high-risk emphysematous pyelonephritis caused by string test-positive Klebsiella pneumoniae and treated with multidisciplinary therapy. The patient developed pyogenic spondylitis during the course of the disease. This is the first reported case of emphysematous pyelonephritis caused by the hypermucoviscosity phenotype of K. pneumoniae and the second reported case of pyogenic spondylitis. The hypermucoviscosity phenotype of K. pneumoniae should be considered as an etiologic agent of emphysematous pyelonephritis.

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