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Emerg Infect Dis. 2002 Feb;8(2):160-6.

Community-acquired Klebsiella pneumoniae bacteremia: global differences in clinical patterns.

Author information

1
National Cheng Kung University Medical College, Taiwan.

Abstract

We initiated a worldwide collaborative study, including 455 episodes of bacteremia, to elucidate the clinical patterns of Klebsiella pneumoniae. Historically, community-acquired pneumonia has been consistently associated with K. pneumoniae. Only four cases of community-acquired bacteremic K. pneumoniae pneumonia were seen in the 2-year study period in the United States, Argentina, Europe, or Australia; none were in alcoholics. In contrast, 53 cases of bacteremic K. pneumoniae pneumonia were observed in South Africa and Taiwan, where an association with alcoholism persisted (p=0.007). Twenty-five cases of a distinctive syndrome consisting of K. pneumoniae bacteremia in conjunction with community-acquired liver abscess, meningitis, or endophthalmitis were observed. A distinctive form of K. pneumoniae infection, often causing liver abscess, was identified, almost exclusively in Taiwan.

PMID:
11897067
PMCID:
PMC2732457
DOI:
10.3201/eid0802.010025
[Indexed for MEDLINE]
Free PMC Article

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