- 著者
-
Kei Suzuki
Akiko Nakamura
Tomoyuki Enokiya
Yoshiaki Iwashita
Eri Tomatsu
Yuichi Muraki
Toshihiro Kaneko
Masahiro Okuda
Naoyuki Katayama
Hiroshi Imai
- 出版者
- 一般社団法人 日本内科学会
- 雑誌
- Internal Medicine (ISSN:09182918)
- 巻号頁・発行日
- vol.52, no.14, pp.1641-1645, 2013 (Released:2013-07-15)
- 参考文献数
- 20
- 被引用文献数
-
4
13
We herein report the first case of septic arthritis caused by rmpA-positive hypermucoviscous community-acquired K. pneumoniae that followed urosepsis in a 65-year-old Japanese woman. The patient responded well to drainage of the abscesses and treatment with cefazolin. Although this virulent phenotype of K. pneumoniae has been primarily reported in Hong Kong, we confirmed that 18/50 isolates obtained in our hospital over the past five years displayed the hypermucoviscous phenotype. Therefore, clinicians should consider the possibility of an increasing prevalence of rmpA-positive hypermucoviscous K. pneumoniae infection in Japan and be particularly vigilant for invasive clinical manifestations, even in patients with urinary tract infections.