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Journal of Clinical Microbiology, June 2004, p. 2783-2785, Vol. 42, No. 6
0095-1137/04/$08.00+0     DOI: 10.1128/JCM.42.6.2783-2785.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.

Clinical Significance and Mechanism of Gas Formation of Pyogenic Liver Abscess Due to Klebsiella pneumoniae

Hsin-Ling Lee,1,2,3 Hsin-Chun Lee,1,3 How-Ran Guo,1,4 Wen-Chien Ko,3 and Kuan-Wen Chen5*

Institute of Clinical Medicine,1 Department of Occupational and Environmental Medicine,2 Department of Environmental and Occupational Health, College of Medicine, National Cheng Kung University,4 Department of Internal Medicine,3 Department of Emergency Medicine, National Cheng Kung University Hospital, Tainan, Taiwan5

Received 7 August 2003/ Returned for modification 27 October 2003/ Accepted 9 February 2004

We enrolled 22 patients with gas-forming pyogenic liver abscess in a study to assess the mechanism of gas formation. Klebsiella pneumoniae was cultured from specimens from all patients. Gas and pus samples from abscesses revealed four major components: nitrogen, oxygen, carbon dioxide, and hydrogen; this implicates mixed acid fermentation of glucose as the mechanism of gas formation.


* Corresponding author. Mailing address: Department of Emergency Medicine, National Cheng Kung University Hospital, 138 Sheng-Li Rd., Tainan 704, Taiwan. Phone: 886-6-2353535, ext. 3560. Fax: 886-6-2359562. E-mail: hllee{at}mail.ncku.edu.tw.


Journal of Clinical Microbiology, June 2004, p. 2783-2785, Vol. 42, No. 6
0095-1137/04/$08.00+0     DOI: 10.1128/JCM.42.6.2783-2785.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.




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