Multiple Abscesses in Thigh due to Klebsiella in a Diabetic Patient with Rheumatoid Arthritis

Klebsiella, a gram negative bacteria, can cause a variety of clinical syndromes in human beings. These include pneumonia, urinary tract infection, abdominal infection, surgical site infection, soft tissue infection and infections of intravascular devices. Middle-aged and elderly individuals with chronic debilitating diseases like diabetes, alcoholism, and immunocompromised persons are more susceptible to Klebsiella infections. This case report is regarding a diabetic patient, on treatment for rheumatoid arthritis, who developed cellulitis of leg with multiple thigh abscesses due to Klebsiella, which happens to be a rare presentation.

[1]  C. Pop,et al.  Septic knee arthritis in Crohn’s disease biological therapy-free patient. Case report , 2015, Journal of medicine and life.

[2]  C. Wiener Harrison's principles of internal medicine , 2013 .

[3]  W. Peh,et al.  Tropical pyomyositis and necrotizing fasciitis. , 2011, Seminars in musculoskeletal radiology.

[4]  S. Basu Klebsiella pneumoniae: An Emerging Pathogen of Pyogenic Liver Abscess. , 2009, Oman medical journal.

[5]  Keun-Tae Cho,et al.  Gas-forming brain abscess caused by Klebsiella pneumoniae. , 2008, Journal of Korean Neurosurgical Society.

[6]  W. Ko,et al.  Community-Acquired Klebsiella pneumoniae Complicated Skin and Soft-Tissue Infections of Extremities: Emphasis on Cirrhotic Patients and Gas Formation , 2008, Infection.

[7]  Monsicha Kangwanprasert,et al.  Case report: spinal epidural abscess from Klebsiella pneumoniae. , 2005, Hawaii medical journal.

[8]  W. Ko,et al.  Klebsiella pneumoniae psoas abscess: predominance in diabetic patients and grave prognosis in gas-forming cases. , 2001, Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi.

[9]  C. Fung,et al.  Klebsiella pneumoniae renal abscess. , 2000, Zhonghua yi xue za zhi = Chinese medical journal; Free China ed.

[10]  Y. Lau,et al.  Necrotizing fasciitis associated with Klebsiella pneumoniae liver abscess. , 1999, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[11]  J. Dylewski,et al.  Necrotizing fasciitis with Klebsiella liver abscess. , 1998, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[12]  W. Lye,et al.  Urinary tract infections in patients with diabetes mellitus. , 1992, The Journal of infection.

[13]  M. Corbett,et al.  Increased incidence of faecal Klebsiella pneumoniae in patients with HLA B7 CREG antigen and men with rheumatoid arthritis. , 1980, British medical journal.

[14]  E. Huskisson,et al.  Severe, unusual, and recurrent infections in rheumatoid arthritis. , 1972, Annals of the rheumatic diseases.

[15]  J. Sainsbury,et al.  Bailey and Love's Short Practice of Surgery , 2004 .