Published online Dec 27, 2023. doi: 10.4240/wjgs.v15.i12.2938
Peer-review started: August 29, 2023
First decision: September 29, 2023
Revised: October 11, 2023
Accepted: November 10, 2023
Article in press: November 10, 2023
Published online: December 27, 2023
Processing time: 120 Days and 4 Hours
Klebsiella variicola (K. variicola) is a member of the Klebsiella genus and is often misidentified as Klebsiella pneumoniae. In this report, we present a rare case of invasive liver abscess caused by K. variicola.
We report a rare case of liver abscess due to K. variicola. A 57-year-old female patient presented with back pain for a month. She developed a high-grade fever associated with chills, and went into a coma and developed shock. The clinical examinations and tests after admission confirmed a diagnosis of primary liver abscess caused by K. variicola complicated by intracranial infection and septic shock. The patient successfully recovered following early percutaneous drainage of the abscess, prompt appropriate antibiotic administration, and timely open surgical drainage.
This is a case of successful treatment of invasive liver abscess syndrome caused by K. variicola, which has rarely been reported. The findings of this report point to the need for further study of this disease.
Core Tip: We report a rare case of liver abscess caused by Klebsiella variicola (K. variicola) complicated by intracranial infection and septic shock. Invasive liver abscess syndrome was mainly caused by Klebsiella pneumoniae in previous reports. The patient successfully recovered following early percutaneous drainage of the abscess, prompt appropriate antibiotic administration, and timely open surgical drainage. Regarding the information in the case, we consider that more attention should be given to K. variicola in clinical practice.