A rare association of liver abscess and rhabdomyolysis induced by Klebsiella oxytoca

Valentina Apuzzi; Marta Sodano; Rita Irace; Daniela Caterina Amoruso; Antonio Cozzolino; Alberto Enrico Maraolo; Vincenzo Bassi

doi:10.3855/jidc.18984

A rare association of liver abscess and rhabdomyolysis induced by Klebsiella oxytoca

Authors

Valentina Apuzzi U.O.C. di Medicina Generale e Lungodegenza, San Giovanni Bosco Hospital, ASL Na1 Centro, Naples, Italy
Marta Sodano U.O.C. di Medicina Generale e Lungodegenza, San Giovanni Bosco Hospital, ASL Na1 Centro, Naples, Italy
Rita Irace U.O.C di Microbiologia, San Giovanni Bosco Hospital, ASL Na1 Centro, Naples, Italy
Daniela Caterina Amoruso U.O.C. di Gastroenterologia, Ospedale del Mare, ASL Na1 Centro, Naples, Italy
Antonio Cozzolino U.O.C. di Gastroenterologia, Ospedale del Mare, ASL Na1 Centro, Naples, Italy
Alberto Enrico Maraolo U.O.C. Malattie emergenti e ad alta contagiosità, Prima Divisione AORN dei Colli Cotugno Hospital, Naples, Italy
Vincenzo Bassi U.O.C. di Medicina Generale e Lungodegenza, San Giovanni Bosco Hospital, ASL Na1 Centro, Naples, Italy https://orcid.org/0000-0001-5187-7353

DOI:

https://doi.org/10.3855/jidc.18984

Keywords:

Liver abscess, K. oxytoca, rhabdomyolysis, CEUS

Abstract

Introduction: We report the case of a 76-year-old male who was hospitalized with severe dehydration, pain in the hepatic region, and weakness in the limbs.

Methodology: A contrast-enhanced abdomen CT and a contrast-enhanced ultrasound identified a large liver abscess. The patient underwent percutaneous drainage of the abscess.

Results: The culture examination, analyzed by multiplex polymerase chain reaction test, showed the presence of Klebsiella oxytoca. The laboratory report identified a resistance mechanism involving a plasmid-mediated SHV-1 extended-spectrum-beta-lactamase (ESBL).

Conclusions: K. oxytoca is a Gram-negative bacterium and is potentially associated with a large variety of infections. The association between the liver abscess by K. oxytoca and rhabdomyolysis had not yet been described in the literature.

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Published

2024-07-29

How to Cite

Apuzzi V, Sodano M, Irace R, Amoruso DC, Cozzolino A, Maraolo AE, Bassi V (2024) A rare association of liver abscess and rhabdomyolysis induced by Klebsiella oxytoca. J Infect Dev Ctries 18:1145–1147. doi: 10.3855/jidc.18984

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Issue

Vol. 18 No. 07: July 2024

Section

Case Reports

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