An Increasing Prominent Disease of Klebsiella pneumoniae Liver Abscess: Etiology, Diagnosis, and Treatment
Figure 1
Comparison of abdominal CT images between KLA and Non-KLA. (a) CT images of a 57-year-old male KLA patient with concomitant diabetes mellitus: circular shadow of low and uneven density can be seen in the caudate lobe near the second hepatic portal. With a diameter of 90 mm, a shadow of much lower density and gas cavities can be seen in the center of the abscess. During enhanced scanning, the margin and internal septations of abscess show a honeycomb-like structure. Intrahepatic bile ducts show slight dilation. (b) CT images of a 51-year-old female patient with E. coli liver abscess: irregular low-density lesion with a honeycomb-like structure can be seen in the right lobe of the liver. Obvious cystic wall enhancement can be seen during enhanced scanning. There is no stenosis or filling defect of hepatic vessels. (c) CT images of a 65-year-old female patient with Pseudomonas aeruginosa liver abscess: patchy shadow of low-and-even density and clear edge can be seen in the right lobe of the liver. By enhanced CT scan, the peripheral enhancement is more dramatic than the nonperipheral enhancement. Septation is visible inside the abscess, and hepatic blood vessels are evenly distributed. KLA: Klebsiella pneumoniae liver abscess; Non-KLA: non-Klebsiella pneumonia-induced pyogenic liver abscess.
