Perianal Abscess and Proctitis by
Klebsiella pneumoniae (K. pneumoniae) can at times cause invasive infections, especially in patients with diabetes mellitus and a history of alcohol abuse. A 61-year-old man with diabetes mellitus and a history of alcohol abuse presented with abdominal and anal pain for two weeks. After admission, h...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Association for the Study of Intestinal Diseases
2015-01-01
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| Series: | Intestinal Research |
| Subjects: | |
| Online Access: | http://www.irjournal.org/upload/pdf/ir-13-85.pdf |
| _version_ | 1818036378869432320 |
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| author | Woo Shin Jeong Sung Youn Choi Eun Haeng Jeong Ki Bae Bang Seung Sik Park Dae Sung Lee Dong Il Park Yoon Suk Jung |
| author_facet | Woo Shin Jeong Sung Youn Choi Eun Haeng Jeong Ki Bae Bang Seung Sik Park Dae Sung Lee Dong Il Park Yoon Suk Jung |
| author_sort | Woo Shin Jeong |
| collection | DOAJ |
| description | Klebsiella pneumoniae (K. pneumoniae) can at times cause invasive infections, especially in patients with diabetes mellitus and a history of alcohol abuse. A 61-year-old man with diabetes mellitus and a history of alcohol abuse presented with abdominal and anal pain for two weeks. After admission, he underwent sigmoidoscopy, which revealed multiple ulcerations with yellowish exudate in the rectum and sigmoid colon. The patient was treated with ciprofloxacin and metronidazole. After one week, follow up sigmoidoscopy was performed owing to sustained fever and diarrhea. The lesions were aggravated and seemed webbed in appearance because of damage to the rectal mucosa. Abdominal computed tomography and rectal magnetic resonance imaging were performed, and showed a perianal and perirectal abscess. The patient underwent laparoscopic sigmoid colostomy and perirectal abscess incision and drainage. Extended-spectrum beta-lactamase-producing K. pneumoniae was identified in pus culture. The antibiotics were switched to ertapenem. He improved after surgery and was discharged. K. pneumoniae can cause rapid invasive infection in patients with diabetes and a history of alcohol abuse. We report the first rare case of proctitis and perianal abscess caused by invasive K. pneumoniae infection. |
| first_indexed | 2024-12-10T07:10:00Z |
| format | Article |
| id | doaj.art-a2e28a9f69114ad1b239b29804d139e5 |
| institution | Directory Open Access Journal |
| issn | 1598-9100 2288-1956 |
| language | English |
| last_indexed | 2024-12-10T07:10:00Z |
| publishDate | 2015-01-01 |
| publisher | Korean Association for the Study of Intestinal Diseases |
| record_format | Article |
| series | Intestinal Research |
| spelling | doaj.art-a2e28a9f69114ad1b239b29804d139e52022-12-22T01:58:05ZengKorean Association for the Study of Intestinal DiseasesIntestinal Research1598-91002288-19562015-01-01131858910.5217/ir.2015.13.1.85122Perianal Abscess and Proctitis byWoo Shin Jeong0Sung Youn Choi1Eun Haeng Jeong2Ki Bae Bang3Seung Sik Park4Dae Sung Lee5Dong Il Park6Yoon Suk Jung7Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.Klebsiella pneumoniae (K. pneumoniae) can at times cause invasive infections, especially in patients with diabetes mellitus and a history of alcohol abuse. A 61-year-old man with diabetes mellitus and a history of alcohol abuse presented with abdominal and anal pain for two weeks. After admission, he underwent sigmoidoscopy, which revealed multiple ulcerations with yellowish exudate in the rectum and sigmoid colon. The patient was treated with ciprofloxacin and metronidazole. After one week, follow up sigmoidoscopy was performed owing to sustained fever and diarrhea. The lesions were aggravated and seemed webbed in appearance because of damage to the rectal mucosa. Abdominal computed tomography and rectal magnetic resonance imaging were performed, and showed a perianal and perirectal abscess. The patient underwent laparoscopic sigmoid colostomy and perirectal abscess incision and drainage. Extended-spectrum beta-lactamase-producing K. pneumoniae was identified in pus culture. The antibiotics were switched to ertapenem. He improved after surgery and was discharged. K. pneumoniae can cause rapid invasive infection in patients with diabetes and a history of alcohol abuse. We report the first rare case of proctitis and perianal abscess caused by invasive K. pneumoniae infection.http://www.irjournal.org/upload/pdf/ir-13-85.pdfProctitisPerianal abscessDiabetes mellitusAlcoholism |
| spellingShingle | Woo Shin Jeong Sung Youn Choi Eun Haeng Jeong Ki Bae Bang Seung Sik Park Dae Sung Lee Dong Il Park Yoon Suk Jung Perianal Abscess and Proctitis by Intestinal Research Proctitis Perianal abscess Diabetes mellitus Alcoholism |
| title | Perianal Abscess and Proctitis by |
| title_full | Perianal Abscess and Proctitis by |
| title_fullStr | Perianal Abscess and Proctitis by |
| title_full_unstemmed | Perianal Abscess and Proctitis by |
| title_short | Perianal Abscess and Proctitis by |
| title_sort | perianal abscess and proctitis by |
| topic | Proctitis Perianal abscess Diabetes mellitus Alcoholism |
| url | http://www.irjournal.org/upload/pdf/ir-13-85.pdf |
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