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Klebsiella Pneumoniae Liver Abscess

 Syn. K. pneumoniae liver abscess , KLA , Klebsiella primary liver abscess

Signs & Symptoms

 Fatigue
Ref: Epocrates [ https://online.epocrates.com/diseases/64031/Liver-abscess/Diagnostic-Approach]
Severe pain
Ref: Harrison [ 2333]
Right upper quadrant tenderness
Ref: Uptodate [ Invasive liver abscess syndrome caused by Klebsiella pneumoniae]
Lack of stamina
Ref: Epocrates [ https://online.epocrates.com/diseases/64031/Liver-abscess/Diagnostic-Approach]

Physical Examination

 Fever
Ref: Uptodate [ Invasive liver abscess syndrome caused by Klebsiella pneumoniae]
Right upper quadrant tenderness
Ref: Uptodate [ Invasive liver abscess syndrome caused by Klebsiella pneumoniae]
Weight loss
Ref: Uptodate [ Pyogenic liver abscess] Harrison [ 957] Cecil [ 897]

Lab / Serology

 Monomicrobial
Ref: Uptodate [ Invasive liver abscess syndrome caused by Klebsiella pneumoniae]
Abnormal alkaline phosphatase
Ref: Epocrates [ https://online.epocrates.com/diseases/64031/Liver-abscess/Diagnostic-Approach]
Leukocytosis
Ref: Uptodate [ Invasive liver abscess syndrome caused by Klebsiella pneumoniae]

Imagin Study

 biliary tract infection
Ref: Cecil [ 896]
Imaging study show biliary tract infection
Ref: Cecil [ 896]
Ultrasonography have predominantly solid appearance
Ref: Uptodate [ Invasive liver abscess syndrome caused by Klebsiella pneumoniae]

Complication

 Flank dullness
Ref: Uptodate [ Evaluation of adults with ascites]
Excessive fatigue
Ref: Harrison [ 2412]
Dilutional hyponatremia
Ref: Cecil [ 458]

Risk Factors

 Malignancy
Ref: Epocrates [ https://online.epocrates.com/diseases/64032/Liver-abscess/Risk-Factors]
Age > 50
Ref: Epocrates [ https://online.epocrates.com/diseases/64032/Liver-abscess/Risk-Factors]
Biliary tract disorders
Ref: Epocrates [ https://online.epocrates.com/diseases/64032/Liver-abscess/Risk-Factors]

Cause

 biliary tract infection
Ref: Cecil [ 896]
disease of biliary tract
Ref: Harrison [ 956]
Imaging study show biliary tract infection
Ref: Cecil [ 896]

Other