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Volume 48, Number 6, December 2015

Gas-forming Klebsiella pneumoniae liver abscess in a patient without diabetes 

Yu-Wei Chiou, Yi-Tsung Lin

Received: May 1, 2014       Accepted: July 24, 2014   


Corresponding author:

Yi-Tsung Lin
Corresponding author. Division of Infectious Diseases, Department of Medicine, Taipei Veterans General Hospital, Number 201, Section 2, Shih-Pai Road, Beitou District, Taipei City 11217, Taiwan. 


Background and purpose: 

Klebsiella pneumoniae is the major pathogen of community-acquired infections in Taiwan.1 K. pneumoniae liver abscess (KPLA) has been reported with increasing frequency in East Asian countries in the past 3 decades, especially in Taiwan.2,3 Gas-forming pyogenic liver abscess (GFPLA) is uncommon and associated with a high fatality rate. The literature suggested that mixed acid fermentation of glucose was the mechanism of gas formation.4 K. pneumoniae is the most common pathogen of GFPLA in Taiwan.4 GFPLA due to K.