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Case Reports in Infectious Diseases
Volume 2013, Article ID 676340, 4 pages
http://dx.doi.org/10.1155/2013/676340
Case Report

Pyogenic Liver Abscess, Bacteremia, and Meningitis with Hypermucoviscous Klebsiella pneumoniae: An Unusual Case Report in a Human T-Cell Lymphotropic Virus Positive Patient of Caribbean Origin in the United States

1SUNY Downstate Medical Center, Brooklyn, NY 11203, USA
2Rockford Infectious Disease Consultants, Chicago, IL 61108, USA
3Arnold & Marie Schwartz College of Pharmacy, SUNY College of Medicine, The Health Science Center at Brooklyn, Brooklyn, NY 11203, USA

Received 27 September 2013; Accepted 30 October 2013

Academic Editors: D. M. Cirillo and D. L. Palazzi

Copyright © 2013 Gargi Patel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pyogenic liver abscess (PLA) is a potentially fatal disease. Klebsiella pneumoniae (K. pneumoniae) has replaced Escherichia coli (E. coli) as the predominant causative organism for pyogenic liver abscess. Over the years a unique form of community-acquired invasive K. pneumoniae infection of the liver has been well described in Southeast Asia. This has recently been linked to a virulent hypermucoviscous K. pneumoniae phenotype and to a specific genotype, rmpA positive. To our knowledge, we report the first case of PLA with bacteremia and meningitis in a Guyanese patient with the presence of rmpA-positive K. pneumoniae with laboratory evidence in North America.