Absceso hepático asociado a absceso pulmonar y endoftalmitis

Autores/as

  • Jairo Cordero Chen Caja Costarricense de Seguro Social
  • Eduardo Catalán Sánchez Caja Costarricense de Seguro Social
  • Juan Ignacio Padilla Cuadra Universidad de Iberoamérica
  • Jorge Ramírez Arce Caja Costarricense de Seguro Social

DOI:

https://doi.org/10.51481/amc.v55i1.785

Palabras clave:

absceso hepático, absceso pulmonar, Klebsiella pneumoniae, endoftalmitis

Resumen

El absceso hepático piógeno producido por Klebsiella pneumoniae es relativamente raro y puede complicarse con lesiones sépticas a distancia. Esto se relaciona con características propias del germen que incluyen el genotipo K1, resistencia a la fagocitosis y la presencia del gen mag-A. Tales metástasis sépticas contemplan absceso pulmonar, meningitis, endocarditis bacteriana y, muy especialmente, endoftalmitis. Esta última ocurre con mayor frecuencia en pacientes diabéticos, y puede causar ceguera. Se reporta caso de absceso hepático por K. pneumoniae asociado a absceso pulmonar y endoftalmitis, y se revisa epidemiología, fisiopatología, diagnóstico y tratamiento de la entidad.

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Citas

Johannsen EC, Sifri CD, Madoff LC. Pyogenic liver abscesses. Infect Dis Clin North Am. 2000; 14: 547-63.

Rahimian J, Wilson T, Oram V, Holzman RS. Pyogenic liver abscess: recent trends in etiology and mortality. Clin Infect Dis. 2004; 39:1654-9.

Han SHB: Review of hepatic abscess from Klebsiella pneumoniaeAn association with diabetes mellitus and septic endophthalmitis. West J Med 1995; 162: 220-224.

Lederman ER, Crum NF. Pyogenic liver abscess with a focus on Klebsiella pneumoniae as a primary pathogen: an emerging disease with unique clinical characteristics. Am J Gastroenterol. 2005; 100: 322-31.

Liu YC, Cheng DL, Lin CL. Klebsiella pneumoniae liver abscess associated with septic endophthalmitis. Arch Intern Med. 1986; 146: 1913-6.

Chang FY, Chou MY. Comparison of pyogenic liver abscesses caused by Klebsiella pneumoniae and non–K. pneumoniae pathogens. J Formos Med Assoc. 1995; 94: 232-7.

Tan YM, Chee SP, Soo KC, Chow P. Ocular manifestations and complications of pyogenic liver abscess. World J Surg. 2004; 28: 38-42.

Saccente M. Klebsiella pneumoniae Liver Abscess, endophthalmitis, and meningitis in a man with newly recognized diabetes mellitus. Clin Infect Dis. 1999; 29:1570–71.

Nadasy KA, Domiati-Saad R, Tribble MA. Invasive Klebsiella pneumoniae syndrome in North America. Clin Infect Dis. 2007; 45: 25–8.

Keynan Y, Karlowsky JA, Walus T, Rubinstein E. Pyogenic liver abscess caused by hypermucoviscous Klebsiella pneumoniae. Scand J Infect Dis. 2007; 39: 828-30.

Karama EM, Willermain F, Janssens X, et al. Endogenous endophthalmitis complicating Klebsiella pneumoniae liver abscess in Europe: case report. Int Ophthalmol. 2008; 28:111-3.

Cosme A, Ojeda E, Zamarreño I, Bujanda L, Garmendia G, Echeverría ML. Benavente J. Pyogenic versus amoebic liver abscesses. A comparative clinical study in a series of 58 patients Rev Esp Enferm Dig. 2010; 102: 90-99.

Hui J, Yang M, Cho D, Li A, Loke T, Chan J, Woo P. Pyogenic Liver AbscessesCaused by Klebsiella pneumoniae: US appearance and aspiration findings. Radiology 2007; 242: 769-76.

Alsaif H, Venkatesh S, Chan D, Archuleta S. CT appearance of pyogenic liver abscesses caused by Klebsiella pneumoniae. Radiology 2011; 260: 129-138.

Chiu CT, Lin DY, Liaw YF: Metastatic septic endophthalmitis in pyogenic liver abscess. J Clin Gastroenterol. 1988; 10: 524-527.

Cheng DL, Liu YC, Yen MY, Liu CY, Wang RS. Septic metastatic lesions of pyogenic liver abscess: association with Klebsiella pneumoniae bacteremia in diabetic patients. Arch Intern Med. 1991; 151:1557-9.

Wong TY, Chiu SI, So MK, Tsang MK, Lai JY, Lai ST, Tse KK, Io YF. Septic metastatic endophthalmitis complicating Klebsiella pneumoniae liver abscess in a non-diabetic chinese man. HKM J. 2001; 7: 303.

CT, Lai SY, Yi WC, Hsueh PR, Liu KL, Chang SC. Klebsiella pneumoniae genotype K1: an emerging pathogen that causes septic ocular or central nervous system complications from pyogenic liver abscess. Clin Infect Dis. 2007; 45: 284-93.

Fang CT, Chuang YP, Shun CT, Chang SC, Wang JT. A novel virulence gene in Klebsiella pneumoniae strains causing primary liver abscess and septic metastatic complications. J Exp Med. 2004; 199: 697-705.

Chuang YP, Fang CT, Lai SY, Chang SC, Wang JT. Genetic determinants of capsular serotype K1 of Klebsiella pneumoniae causing primary pyogenic liver abscess. J Infect Dis. 2006; 193: 645-54.

Wiskur B, Hun J, Callegan M.. Hypermucoviscosity as a virulence factor in experimental Klebsiella pneumoniae endophthalmitis. Invest Ophthalmol Vis Sci. 2008; 49:4931-4938.

Lin JC, Chang FY, Fung CP, Yeh KM, Chen CT, Tsai YK, Siu LK. Do neutrophils play a role in establishing liver abscesses and distant metastases caused by Klebsiella pneumoniae? PLoS One. 2010; 5: 15005.

Okada AA, Johnson RP, Liles WC, D’Amico DJ, Baker AS. Endogenous bacterial endophthalmitis: report of a ten-year retrospective study. Ophthalmology 1994; 101: 832-8.

Chou FF, Kou HK. Endogenous endophthalmitis associated with pyogenic hepatic abscess. J Am Coll Surg. 1996; 182:33-6.

Cahill M, Chang B, Murray A. Bilateral endogenous bacterial endophthalmitis associated with pyogenic hepatic abscess. Br J Ophthalmol. 2000; 84:1432-1438.

Liao HR, Lee HW, Leu HS, Lin BJ, Juang CJ. Endogenous Klebsiella pneumoniae endophthalmitis in diabetic patients. Can J Ophthalmol. 1992; 27: 143-7.

Naito T, Kawakami T, Tsuda M, Ebe T, Sekiya S, Isonuma H, Matsumoto T, Watanabe K. [A case of endophthalmitis and abscesses in the liver and the lung caused by Klebsiella pneumoniae]. Kansenshogaku Zasshi. 1999; 73:935-8.

(abstract)

Chung YF. Pyogenic liver abscess--predicting failure to improve outcome. Neth J Med. 2008; 66:183-4.

Land MA, Moinuddin M, Bisno AL: Pyogenic liver abscessChanging epidemiology and prognosis. South Med J. 1985; 78:1426-1430.

Lee S, Chen Y, Tsai H, Wann S, Lin H, Huang C, Liu Y. Predictors of septic metastatic infection and mortality among patients with Klebsiella pneumoniae liver abscess.

Clin Infect Dis. 2008; 47:642-50.

McDonald MI, Corey GR, Gallis HA, Durack DT. Single and multiple pyogenic liver abscesses: natural history, diagnosis and treatment, with emphasis on percutaneous drainage. Medicine 1984; 63: 291-302.

Malik A, Bari S, Rouf K, Wani K. Pyogenic liver abscess: Changing patterns in approach. World J Gastrointest Surg. 2010; 2: 395401.

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Publicado

2013-04-05 — Actualizado el 2013-01-01

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Cómo citar

Cordero Chen, J., Catalán Sánchez, E., Padilla Cuadra, J. I., & Ramírez Arce, J. (2013). Absceso hepático asociado a absceso pulmonar y endoftalmitis. Acta Médica Costarricense, 55(1), 56–59. https://doi.org/10.51481/amc.v55i1.785 (Original work published 5 de abril de 2013)