重症の化膿性膝関節炎と多臓器播種を合併した<i>Klebsiella pneumoniae</i>肝膿瘍の1例

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  • A case of severe septic arthritis and multiple metastases associated with <i>Klebsiella pneumoniae</i> liver abscess
  • ショウレイ ホウコク ジュウショウ ノ カノウセイ ヒザカンセツエン ト タゾウキ ハシュ オ ガッペイ シタ Klebsiella pneumoniae カン ノウヨウ ノ 1レイ

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A 68-year-old man who had diabetes mellitus, was referred to our hospital because of a one-week history of fever and knee joint pain. Both synovial fluid and blood culture were positive for Klebsiella pneumoniae. Computed tomography revealed a liver abscess. We made a diagnosis of K.pneumoniae liver abscess and metastatic septic arthritis of the knee. Although liver abscess and accompanying multiple metastatic lesions in kidney, prostate gland, lung, were successfully treated with antibiotics, the knee joint infection was resistant to antibiotics and arthroscopic drainage. It required open surgery for debridement of synovium and cartilage, and then caused serious joint dysfunction.<br>

収録刊行物

  • 肝臓

    肝臓 53 (12), 839-845, 2012

    一般社団法人 日本肝臓学会

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