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Journal of Clinical Microbiology, January 2007, p. 266-269, Vol. 45, No. 1
0095-1137/07/$08.00+0     doi:10.1128/JCM.01413-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Nosocomial Liver Abscess Caused by Extended-Spectrum Beta-Lactamase-Producing Klebsiella pneumoniae{triangledown}

Jung-Chung Lin,1 L. K. Siu,2 Chang-Phone Fung,3 Kao-Ming Yeh,1 and Feng-Yee Chang1*

Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei,1 Division of Clinical Research, National Health Research Institutes, Taipei,2 National Yang-Ming University, Taipei, Taiwan3

Received 8 July 2006/ Returned for modification 28 August 2006/ Accepted 24 October 2006

A nosocomial pyogenic liver abscess caused by an extended-spectrum beta-lactamase-producing Klebsiella pneumoniae isolate presented in a man with adenocarcinoma of the stomach. The K. pneumoniae strain isolated from blood and liver aspirate cultures after antibiotic therapy for recurrent bacteremia was resistant to all extended-spectrum beta-lactams except imipenem and differed from K. pneumoniae strains causing community-acquired liver abscesses.

* Corresponding author. Mailing address: Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, 325, Section 2, Cheng-Kung Road, Neihu 114, Taipei, Taiwan, Republic of China. Phone: 886 2 87927257. Fax: 886 2 87927258. E-mail: fychang{at}ndmctsgh.edu.tw.

{triangledown} Published ahead of print on 8 November 2006.

Journal of Clinical Microbiology, January 2007, p. 266-269, Vol. 45, No. 1
0095-1137/07/$08.00+0     doi:10.1128/JCM.01413-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.





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