Klebsiella Distinctive Syndrome Presenting with
Muscular Abscess and Osteomyelitis:
Case Report:
Nutthawut Akaranuchat, MD¹, Chanon Parkpinyo, MD¹
Affiliation : ¹ Division of Plastic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
The present article describes a case of 46-year-old man who presented with progressive pain and swelling at the right lower
back and buttock for three weeks. The investigation showed an abscess at the right lower back and buttock, osteomyelitis of
the iliac bone, and a hepatic abscess. The causative pathogens were confirmed to be Klebsiella pneumoniae , both K1 and K2
serotype. This patient was treated with surgical management, percutaneous drainage, intravenous antibiotic, and control of his
underlying disease risk factor, which was diabetic mellitus.
Received 14 May 2020 | Revised 13 July 2020 | Accepted 17 July 2020
doi.org/10.35755/jmedassocthai.2020.11.11111
Keywords : Klebsiella distinctive syndrome, Klebsiella liver abscess syndrome, Hypervirulent strain of Klebsiella pneumoniae , Klebsiella pneumoniae , Liver abscess
