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Invasive Klebsiella syndrome with hepatic abscesses and necrotizing pneumonia

Imaging findings

CT scan of the chest and abdomen demonstrates a highly toxic, multifocal necrotizing pneumonia, crazy paving, and multiple multiloculated hepatic abscesses. Blood and sputum cultures grew Klebsiella pneumoniae.

Key takeaways

Invasive Klebsiella syndrome (or hypervirulent Klebsiella pneumoniae) is characterized by primary liver abscesses with metastatic septic complications, including necrotizing pneumonia, endophthalmitis, or meningitis, carrying a high mortality rate.

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