Report of a Fatal Purulent Pericarditis Case Caused by ST11-K64 Carbapenem-Resistant Hypervirulent Klebsiella pneumoniae

Shiwei Liang,1,2,* Huijun Cao,1,* Fei Ying,1 Chenchen Zhang2 1Centre for Clinical Laboratories, the Affiliated Hospital of Guizhou Medical University, Guiyang, People’s Republic of China; 2School of Clinical Laboratory Science, Guizhou Medical University, Guiyang, People’s Republic o...

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Main Authors: Liang S, Cao H, Ying F, Zhang C
Format: Article
Language:English
Published: Dove Medical Press 2022-08-01
Series:Infection and Drug Resistance
Subjects:
Online Access:https://www.dovepress.com/report-of-a-fatal-purulent-pericarditis-case-caused-by-st11-k64-carbap-peer-reviewed-fulltext-article-IDR
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author Liang S
Cao H
Ying F
Zhang C
author_facet Liang S
Cao H
Ying F
Zhang C
author_sort Liang S
collection DOAJ
description Shiwei Liang,1,2,* Huijun Cao,1,* Fei Ying,1 Chenchen Zhang2 1Centre for Clinical Laboratories, the Affiliated Hospital of Guizhou Medical University, Guiyang, People’s Republic of China; 2School of Clinical Laboratory Science, Guizhou Medical University, Guiyang, People’s Republic of China*These authors contributed equally to this workCorrespondence: Fei Ying, Tel +86 13985509788, Email feiying@gmc.edu.cnAbstract: The report describes a 44-year-old female patient who died of the rare acute purulent pericarditis caused by Klebsiella pneumoniae (KP). The genomic analysis revealed an extensively drug-resistant ST11-K64 KP strain from five isolates (blood cultures, urine, ascites, pericardial effusion, and sputum). Several high virulence (hv) and carbapenem-resistant (CR) genes were identified in the pericardial effuse isolate. The isolates showed low resistance to healthy human serum. This study highlights the potential lethality of CR-hvKP infections in patients suffering from underlying comorbidities such as diabetes mellitus and chronic ailments.Keywords: purulent pericarditis, Klebsiella pneumoniae, carbapenem-resistance, hypervirulence, ST11, K64
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spelling doaj.art-36f29f52c9c94dad81b8a94008ce097c2022-12-22T02:16:24ZengDove Medical PressInfection and Drug Resistance1178-69732022-08-01Volume 154749475777553Report of a Fatal Purulent Pericarditis Case Caused by ST11-K64 Carbapenem-Resistant Hypervirulent Klebsiella pneumoniaeLiang SCao HYing FZhang CShiwei Liang,1,2,* Huijun Cao,1,* Fei Ying,1 Chenchen Zhang2 1Centre for Clinical Laboratories, the Affiliated Hospital of Guizhou Medical University, Guiyang, People’s Republic of China; 2School of Clinical Laboratory Science, Guizhou Medical University, Guiyang, People’s Republic of China*These authors contributed equally to this workCorrespondence: Fei Ying, Tel +86 13985509788, Email feiying@gmc.edu.cnAbstract: The report describes a 44-year-old female patient who died of the rare acute purulent pericarditis caused by Klebsiella pneumoniae (KP). The genomic analysis revealed an extensively drug-resistant ST11-K64 KP strain from five isolates (blood cultures, urine, ascites, pericardial effusion, and sputum). Several high virulence (hv) and carbapenem-resistant (CR) genes were identified in the pericardial effuse isolate. The isolates showed low resistance to healthy human serum. This study highlights the potential lethality of CR-hvKP infections in patients suffering from underlying comorbidities such as diabetes mellitus and chronic ailments.Keywords: purulent pericarditis, Klebsiella pneumoniae, carbapenem-resistance, hypervirulence, ST11, K64https://www.dovepress.com/report-of-a-fatal-purulent-pericarditis-case-caused-by-st11-k64-carbap-peer-reviewed-fulltext-article-IDRpurulent pericarditisklebsiella pneumoniaecarbapenem-resistancehypervirulencest11k64
spellingShingle Liang S
Cao H
Ying F
Zhang C
Report of a Fatal Purulent Pericarditis Case Caused by ST11-K64 Carbapenem-Resistant Hypervirulent Klebsiella pneumoniae
Infection and Drug Resistance
purulent pericarditis
klebsiella pneumoniae
carbapenem-resistance
hypervirulence
st11
k64
title Report of a Fatal Purulent Pericarditis Case Caused by ST11-K64 Carbapenem-Resistant Hypervirulent Klebsiella pneumoniae
title_full Report of a Fatal Purulent Pericarditis Case Caused by ST11-K64 Carbapenem-Resistant Hypervirulent Klebsiella pneumoniae
title_fullStr Report of a Fatal Purulent Pericarditis Case Caused by ST11-K64 Carbapenem-Resistant Hypervirulent Klebsiella pneumoniae
title_full_unstemmed Report of a Fatal Purulent Pericarditis Case Caused by ST11-K64 Carbapenem-Resistant Hypervirulent Klebsiella pneumoniae
title_short Report of a Fatal Purulent Pericarditis Case Caused by ST11-K64 Carbapenem-Resistant Hypervirulent Klebsiella pneumoniae
title_sort report of a fatal purulent pericarditis case caused by st11 k64 carbapenem resistant hypervirulent klebsiella pneumoniae
topic purulent pericarditis
klebsiella pneumoniae
carbapenem-resistance
hypervirulence
st11
k64
url https://www.dovepress.com/report-of-a-fatal-purulent-pericarditis-case-caused-by-st11-k64-carbap-peer-reviewed-fulltext-article-IDR
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