Hypermucoviscous Klebsiella pneumoniae liver abscess in a previously healthy Burmese male
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We report the case of a 38 year-old previously healthy Burmese man who presented with abdominal pain, headache, myalgia, and back pain. He was found to have leukocytosis, transaminitis, hyperbilirubinemia, and evidence of systemic inflammation. A hypodense hepatic mass was identified with a CT of the abdomen. The patient was ultimately diagnosed with hypermucoviscous K. pneumoniae CA-PLA. This case provides additional evidence for the emergence of hypermucoviscous K. pneumoniae CA-PLA outside of East Asia and supports the need for continued research to gain a better understanding of its pathogenesis predilection for individuals of Asian decent. This report also delineates the importance of acknowledging the dynamic state of infectious disease, the shifting racial demographics in the Western world, and the ever-present potential for antibiotic resistance. With this information clinicians will be more equipped to identify and treat a potentially fatal disease in individuals with symptoms of a seemingly self-limiting infection.
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.