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©The Author(s) 2021.
World J Clin Cases. Apr 16, 2021; 9(11): 2602-2610
Published online Apr 16, 2021. doi: 10.12998/wjcc.v9.i11.2602
Published online Apr 16, 2021. doi: 10.12998/wjcc.v9.i11.2602
Table 1 Drug susceptibility results of Klebsiella pneumoniae
| Antibiotic | Result |
| Ampicillin | R |
| Cefazolin | S |
| Ceftriaxone | S |
| Ertapenem | S |
| Imipenem | S |
| Amikacin | S |
| Levofloxacin | S |
| Tigecycline | S |
| Cefoperazone/Sulbactam | S |
Table 2 Characteristics of the case
| Item | Description | Result |
| Gender | Male | 6/15 (40%) |
| Age | Year | (50.13 ± 19.77) |
| Symptom | Abdominal pain | 6/15 (40%) |
| Frank pain | 9/15 (60%) | |
| Cause | Urinary stones | 3/15 (20%) |
| Third trimester | 3/15 (20%) | |
| Tumor | 1/15 (7%) | |
| Vascular factor | 5/15 (33%) | |
| Retention | 2/15 (13%) | |
| Idiopathic | 1/15 (7%) | |
| Location | Renal pelvis | 8/15 (53%) |
| Renal parenchyma | 7/15 (47%) | |
| Anemia | Yes | 7/15 (47%) |
| No | 8/15 (53%) | |
| Shock | Yes | 5/15 (34%) |
| No | 10/15 (66%) | |
| Treatment | Embolism | 2/15 (13%) |
| Ureteral stent | 7/15 (47%) | |
| Puncture drainage | 3/15 (20%) | |
| Nephrectomy | 2/15 (13%) | |
| Conservative treatment | 1/15 (7%) | |
| Prognosis | Death | 1/15 (7%) |
| Recovery | 14/15 (93%) |
Table 3 Summary of the location of different causes
| Option A | Option B | Option C | Total | |
| Renal pelvis | 8 | 0 | 0 | 8 |
| Renal parenchyma | 0 | 6 | 1 | 6 |
| Total | 8 | 6 | 1 | 15 |
Table 4 Summary of the shock of different causes
| Option A | Option B | Option C | Total | |
| Yes | 1 | 4 | 0 | 5 |
| No | 7 | 2 | 1 | 10 |
| Total | 8 | 6 | 1 | 15 |
Table 5 Summary of the anemia of different causes[20]
| Option A | Option B | Option C | Total | |
| Yes | 1 | 6 | 0 | 7 |
| No | 7 | 0 | 1 | 8 |
| Total | 8 | 6 | 1 | 15 |
Table 6 Bahadin J’s research of sensitivity of Klebsiella pneumoniae to first-line antibiotic[19]
| Antibiotic | % Sensitivity |
| Cephalothin | 65.5 |
| Cotrimoxazole | 69.0 |
| Nalidixicacid | 69.0 |
| Ciprofloxacin | 72.4 |
| Amoxicilin/clavulanate | 82.8 |
| Gentamicin | 100.0 |
| Ceftriaxone | 86.2 |
| Aztreonam | 82.8 |
| Nitrofurantoin | 37.9 |
| Piperacilin/tazobactam | 89.7 |
| Ertapenem | 100.0 |
- Citation: Zhang CG, Duan M, Zhang XY, Wang Y, Wu S, Feng LL, Song LL, Chen XY. Klebsiella pneumoniae infection secondary to spontaneous renal rupture that presents only as fever: A case report. World J Clin Cases 2021; 9(11): 2602-2610
- URL: https://www.wjgnet.com/2307-8960/full/v9/i11/2602.htm
- DOI: https://dx.doi.org/10.12998/wjcc.v9.i11.2602
