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A 44-year-old man with a history of diabetes taking no medication was admitted to our hospital because of fever and consciousness disturbance. Computed tomography showed the presence of a liver… Click to show full abstract
A 44-year-old man with a history of diabetes taking no medication was admitted to our hospital because of fever and consciousness disturbance. Computed tomography showed the presence of a liver abscess (Picture A) and a septic pulmonary embolism (Picture B). Brain magnetic resonance imaging revealed multiple abscesses on diffusionweighted images (Picture C) and multiple microhemorrhages on susceptibility-weighted images (Picture D). Magnetic resonance angiography showed no abnormalities (Picture E). The patient showed nuchal rigidity, and a lumbar puncture revealed the concurrence of bacterial meningitis. In addition, left endophthalmitis was observed. Blood and liver abscess cultures revealed serotype K1 hypermucoviscous Klebsiella pneumoniae carrying both rmpA and magA genes, which led
Journal Title: Internal Medicine
Year Published: 2020
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