CTICasesKlebsiella pneumoniae Septic Emboli post Hemorrhoid Banding
Imaging findings
CT abdomen and chest show a large liver abscess and multiple cavitating pulmonary nodules, which developed rapidly over a few days. Sputum and blood cultures were positive for Klebsiella pneumoniae.
Key takeaways
Hemorrhoid banding procedures can rarely serve as a portal of entry for bacteremia. Klebsiella pneumoniae is a highly virulent organism that can cause pyogenic liver abscesses and hematogenous septic embolization to the lungs, presenting as rapidly progressive cavitating nodules.
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