Pediatric brain abscess with fatal outcome caused by hypervirulent Klebsiella pneumoniae, serotype K2-ST65

Hypervirulent Klebsiella pneumoniae (hvKp) is an emerging pathotype in addition to classical Klebsiella pneumoniae, with its ability to cause life-threatening, community-acquired metastatic infections even in healthy individuals. We presented a case of cerebral abscess preceded by otitis media in a...

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Main Authors: Emily Tan Sheau En, Nabilah Ismail, Nur Syafiqah Mohamad Nasir, Yasmin Khairani Muhammad Ismadi, Nik Mohd Noor Nik Zuraina, Siti Asma’ Hassan
Format: Article
Language:English
Published: Elsevier 2023-07-01
Series:Journal of Infection and Public Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1876034123001703
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author Emily Tan Sheau En
Nabilah Ismail
Nur Syafiqah Mohamad Nasir
Yasmin Khairani Muhammad Ismadi
Nik Mohd Noor Nik Zuraina
Siti Asma’ Hassan
author_facet Emily Tan Sheau En
Nabilah Ismail
Nur Syafiqah Mohamad Nasir
Yasmin Khairani Muhammad Ismadi
Nik Mohd Noor Nik Zuraina
Siti Asma’ Hassan
author_sort Emily Tan Sheau En
collection DOAJ
description Hypervirulent Klebsiella pneumoniae (hvKp) is an emerging pathotype in addition to classical Klebsiella pneumoniae, with its ability to cause life-threatening, community-acquired metastatic infections even in healthy individuals. We presented a case of cerebral abscess preceded by otitis media in a 10-year-old child caused by hvKp. The isolates from blood pus aspirate were later identified as K. pneumoniae capsular serotype K2 and closely related to sequence type (ST65), with multiple hypervirulent genes detected (rmpA, rmpA2, iucA and peg344). She succumbed to death despite surgical drainage and susceptible antibiotic therapy. Clinicians should be cognizant of the rising incidence of hvKp infections in pediatric populations.
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spelling doaj.art-58fe724caf9242f3b2f33c2c4043adbb2023-06-01T04:35:27ZengElsevierJournal of Infection and Public Health1876-03412023-07-0116710891092Pediatric brain abscess with fatal outcome caused by hypervirulent Klebsiella pneumoniae, serotype K2-ST65Emily Tan Sheau En0Nabilah Ismail1Nur Syafiqah Mohamad Nasir2Yasmin Khairani Muhammad Ismadi3Nik Mohd Noor Nik Zuraina4Siti Asma’ Hassan5Department of Medical Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, MalaysiaDepartment of Medical Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia; Hospital Universiti Sains Malaysia, Health Campus, USM, 16150 Kubang Kerian, MalaysiaDepartment of Medical Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, MalaysiaDepartment of Medical Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, MalaysiaDepartment of Medical Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, MalaysiaDepartment of Medical Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia; Hospital Universiti Sains Malaysia, Health Campus, USM, 16150 Kubang Kerian, Malaysia; Corresponding author at: Department of Medical Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia.Hypervirulent Klebsiella pneumoniae (hvKp) is an emerging pathotype in addition to classical Klebsiella pneumoniae, with its ability to cause life-threatening, community-acquired metastatic infections even in healthy individuals. We presented a case of cerebral abscess preceded by otitis media in a 10-year-old child caused by hvKp. The isolates from blood pus aspirate were later identified as K. pneumoniae capsular serotype K2 and closely related to sequence type (ST65), with multiple hypervirulent genes detected (rmpA, rmpA2, iucA and peg344). She succumbed to death despite surgical drainage and susceptible antibiotic therapy. Clinicians should be cognizant of the rising incidence of hvKp infections in pediatric populations.http://www.sciencedirect.com/science/article/pii/S1876034123001703HypervirulentKlebsiella pneumoniaePediatricBrain abscess
spellingShingle Emily Tan Sheau En
Nabilah Ismail
Nur Syafiqah Mohamad Nasir
Yasmin Khairani Muhammad Ismadi
Nik Mohd Noor Nik Zuraina
Siti Asma’ Hassan
Pediatric brain abscess with fatal outcome caused by hypervirulent Klebsiella pneumoniae, serotype K2-ST65
Journal of Infection and Public Health
Hypervirulent
Klebsiella pneumoniae
Pediatric
Brain abscess
title Pediatric brain abscess with fatal outcome caused by hypervirulent Klebsiella pneumoniae, serotype K2-ST65
title_full Pediatric brain abscess with fatal outcome caused by hypervirulent Klebsiella pneumoniae, serotype K2-ST65
title_fullStr Pediatric brain abscess with fatal outcome caused by hypervirulent Klebsiella pneumoniae, serotype K2-ST65
title_full_unstemmed Pediatric brain abscess with fatal outcome caused by hypervirulent Klebsiella pneumoniae, serotype K2-ST65
title_short Pediatric brain abscess with fatal outcome caused by hypervirulent Klebsiella pneumoniae, serotype K2-ST65
title_sort pediatric brain abscess with fatal outcome caused by hypervirulent klebsiella pneumoniae serotype k2 st65
topic Hypervirulent
Klebsiella pneumoniae
Pediatric
Brain abscess
url http://www.sciencedirect.com/science/article/pii/S1876034123001703
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