Community-acquired Klebsiella pneumoniae bacteremia: Global differences in clinical patterns

Ko, Wen-Chien, Paterson, David L., Sagnimeni, Anthanasia J., Hansen, Dennis S., Von Gottberg, Anne, Mohapatra, Sunita, Casellas, Jose Maria, Goossens, Herman, Mulazimoglu, Lutfiye, Trenholme, Gordon, Klugman, Keith P., McCormack, Joseph G. and Yu, Victor L. (2002) Community-acquired Klebsiella pneumoniae bacteremia: Global differences in clinical patterns. Emerging Infectious Diseases, 8 2: 160-166. doi:10.3201/eid0802.010025

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Author Ko, Wen-Chien
Paterson, David L.
Sagnimeni, Anthanasia J.
Hansen, Dennis S.
Von Gottberg, Anne
Mohapatra, Sunita
Casellas, Jose Maria
Goossens, Herman
Mulazimoglu, Lutfiye
Trenholme, Gordon
Klugman, Keith P.
McCormack, Joseph G.
Yu, Victor L.
Title Community-acquired Klebsiella pneumoniae bacteremia: Global differences in clinical patterns
Journal name Emerging Infectious Diseases   Check publisher's open access policy
ISSN 1080-6040
Publication date 2002-01-01
Year available 2002
Sub-type Article (original research)
DOI 10.3201/eid0802.010025
Open Access Status File (Publisher version)
Volume 8
Issue 2
Start page 160
End page 166
Total pages 7
Place of publication Atlanta
Publisher U.S. National Center for Infectious Diseases
Language eng
Subject C1
321401 Exercise Physiology
730110 Respiratory system and diseases (incl. asthma)
Abstract We initiated a worldwide collaborative study, including 455 episodes of bacteremia, to elucidate the clinical patterns of Klebsiella pneumoniae. Historically, community-acquired pneumonia has been consistently associated with K. pneumoniae. Only four cases of community-acquired bacteremic K. pneumoniae pneumonia were seen in the 2-year study period in the United States, Argentina, Europe, or Australia; none were in alcoholics. In contrast, 53 cases of bacteremic K. pneumoniae pneumonia were observed in South Africa and Taiwan, where an association with alcoholism persisted (p=0.007). Twenty-five cases of a distinctive syndrome consisting of K. pneumoniae bacteremia in conjunction with community-acquired liver abscess, meningitis, or endophthalmitis were observed. A distinctive form of K. pneumoniae infection, often causing liver abscess, was identified, almost exclusively in Taiwan.
Keyword Immunology
Infectious Diseases
Pyogenic Liver-abscess
Intensive-care Unit
Metastatic Endophthalmitis
Endogenous Endophthalmitis
Prognostic Factors
Q-Index Code C1
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
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Created: Wed, 15 Aug 2007, 04:43:13 EST