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Klebsiella pneumoniae Cerebritis Masquerading as Hyperacute Middle Cerebral Artery Syndrome

Park S, Oh CH, Lee JS

Several clinical syndromes can present with the symptoms or signs resembling an acute stroke. A 52-year-old woman with uncontrolled diabetes presented with symptoms of a hyperacute right middle cerebral artery...
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Liver Abscess caused by Cytomegalovirus in a Patient with Acquired Immunodeficiency Syndrome

Lee JY, Park Jw, Park JY

Cytomegalovirus (CMV) causes severe infection in immunocompromised patients, especially those with acquired immunodeficiency syndrome (AIDS), those who have undergone organ transplantation, and/or those who are being treated with steroids. In...
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Pediatric Sarcoidosis Misdiagnosed as Hepatosplenic Abscesses: A Case Report and Review

Lee SM, Choi H, Lim S, Shin J, Kang JM, Ahn JG

Sarcoidosis is a systemic granulomatous disorder of unknown etiology characterized by granuloma formation. Due to the limited incidence of sarcoidosis in pediatric patients, little is known about the clinical course...
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Lower Leg Abscess in Klebsiella pneumoniae Invasive Syndrome Caused by Hypervirulent Klebsiella pneumoniae: A Case Report

Kim DS, Kim DY

Klebsiella pneumoniae is known to cause an invasive syndrome characterized by primary liver abscess associated with metastatic infection. The characteristics of the metastatic infection involving the musculoskeletal system in this...
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The first case of abdominal mycotic aneurysm caused by K1 hypervirulent Klebsiella pneumoniae in a healthy adult

Kim M, Yoo JR, Oh H, Kim YR, Lee KH, Heo ST

Incidence of hypervirulent Klebsiella pneumoniae (hvKp) infection has been steadily increasing in the Asia-Pacific rim. The characteristic of hvKp infection is its ability to cause multiple site infections and unpredictable...
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Proton Pump Inhibitor Use Increases Pyogenic Liver Abscess Risk: A Nationwide Cohort Study

Oh JH, Kang D, Kang W, Guallar E, Cho J, Min YW

  • KMID: 2521156
  • J Neurogastroenterol Motil.
  • 2021 Oct;27(4):555-564.
  • doi: 10.5056/jnm20221
Background/Aims Proton pump inhibitors (PPIs) increase gastric pH and alter the gut microbiome. An increased risk for infectious diseases has been reported in PPI users. However, little is known about the...
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Successful Medical Treatment for Peritonitis Resulting from a Large Pyogenic Liver Abscess Rupture

Myung HJ, Ryu SH, Liu CH, Yoo JH, Kim SH, Kim SH, Yoon WE, Park TY, Moon JS

The rupture of a pyogenic liver abscess (PLA) with peritonitis is a rare occurrence but a surgical emergency with a high mortality rate in the case of gas-forming PLA. Rare...
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Hyperbilirubinemia without biliary obstruction during amoebic liver abscess treated successfully with endoscopic biliary drainage

Jain AK, Jain S, Kaulavkar S, Choudhary A

Amoebic liver abscess with jaundice is not uncommon, but jaundice with intractable pruritus due to it is extremely uncommon. We present a case of amoebic liver abscess who had mild...
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Fasciola Hepatica Induced Hepatic Abscess Treated with Triclabendazole

Park HJ, Choi GS, Jung M, Lee SU

Fascioliasis is a zoonotic disease caused by Fasciola Hepatica that infects mainly cattle, sheep, and goats. Humans can be infected by water or aquatic plants contaminated with metacercariae. The authors...
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Liver Abscess Caused by Klebsiella oxytoca with Hepatic Artery Pseudoaneurysm: A Case Report

Lee JY, Lee HN, Lee WH, Shin HC, Kim SS, Hwang JA

Hepatic artery pseudoaneurysm is a rare but potentially life-threatening condition that usually occurs after trauma. Early recognition and prompt management are essential for preventing catastrophic consequences, such as hemoperitoneum. We...
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Outcomes of Endoscopic Management among Patients with Bile Leak of Various Etiologies at a Tertiary Care Center

Giri S, Sundaram S, Darak H, Kumar S, Bhatia S

Background/Aims: Bile leak is a common complication of cholecystectomy, and it is also observed in other conditions such as ruptured liver abscess, hydatid cyst, and trauma. Endoscopic retrograde cholangiopancreatography (ERCP)...
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Rare Clinical and Radiologic Case of Cholangiocarcinoma Mimicking Pyogenic Abscess, Hepatic Echinococcal Cysts, and Metastases

Lee SH, Ryu SH, Lee DH, Yoon WE, Park TY, Lee HK, Moon JS

Cholangiocarcinoma is a biliary carcinoma with a wide spectrum of imaging, histological, and clinical features. In immunocompromised patients, pyogenic abscesses are relatively common and an echinococcal hepatic cysts are very...
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Toothpick in the porta: Recurrent liver abscesses secondary to transgastric migration of a toothpick with successful surgical exploration retrieval

Kishawi S, Anderson MJ, Chavin Case K

We present a rare case of a 72-year-old man with recurrent hepatic abscesses secondary to transgastric migration of a toothpick into the liver parenchyma and left portal venous branch. Prior...
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Ventriculitis Associated with Liver Abscess Caused by Klebsiella Pneumoniae

Lee Y, Song YM

Klebsiella pneumoniae has been recognized to cause an invasive syndrome characterized by liver abscess and its metastatic infection. The characteristics of metastatic infection involving the central nervous system in this...
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Current Status of Amebic Liver Abscess in Korea Comparing with Pyogenic Liver Abscess

Kim E, Park DH, Kim KJ, Kim TO, Park SH, Park J, Choi JH, Lee J, Park YE, Oh EH, Hwang JS, Heo NY

Background/Aims: With the improvement of hygiene, the incidence of amebic liver abscess is decreasing in South Korea. On the other hand, there is little data on the status of amebic...
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Gastric cancer and adenomatous colorectal polyp concomitant with pyogenic liver abscess and bacteremia

Kang MK, Kwon HJ, Kim MC

Synchronous gastric cancer and adenomatous colorectal polyp in patients with Klebsiella pneumoniae-induced pyogenic liver abscess (KP-PLA) and bacteremia is a rare presentation. A 58-year-old man with a 6-month history of...
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Klebsiella pneumoniae-induced Liver Abscess Complicated with Septic Pulmonary Embolism in a Non-diabetic Adult

Lim BH, Lee SI

A 72-year-old non-diabetic man was admitted to the intensive care unit because of liver abscess, cholecystitis, and septic shock. He underwent percutaneous catheter drainage and received intravenous antibiotics. Shock was...
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Pyogenic Liver Abscess or Liver Cyst Infection after Colonoscopic Polypectomy

Kim TH, Heo NY, Park SH, Moon YS, Kim TO, Park J, Choi JH, Park YE, Lee J

A pyogenic liver abscess (PLA) mostly occurs in association with biliary tract disease, but some PLAs have no apparent underlying cause, i.e., they are cryptogenic. The authors experienced three cases...
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Characteristics of Klebsiella pneumoniae Isolates from Stool Samples of Patients with Liver Abscess Caused by Hypervirulent K. pneumoniae

Kim JH, Jeong Y, Lee CK, Kim SB, Yoon YK, Sohn JW, Kim MJ

BACKGROUND: Hypervirulent Klebsiella pneumoniae (hvKP) has been the most significant pathogen for liver abscesses in East Asia including the Republic of Korea (ROK). Although gastrointestinal colonization of K. pneumoniae may...
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Pyogenic Liver Abscess Caused by Endoscopic Submucosal Dissection for Early Colon Cancer

Lee JS, Kwon YH

Endoscopic submucosal dissection (ESD) is widely used for the treatment of colorectal neoplasia in patients who are candidates for endoscopic resection. In particular, pyogenic liver abscess (PLA), although rare, can...
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