Background:
Klebsiella pneumoniae is a Gram-negative, encapsulated bacillus that is
widely present in nature. It is a part of the normal flora of human
being, present in the oral cavity and intestine [1]. Klebsiella
pneumoniae is the most important organism of the Klebsiella species
responsible for hospital-acquired infection in compromised hosts with an
impaired defense system. Infections caused by Klebsiella pneumoniae can
be acquired in long-term care facilities such as nursing homes and, less
often, in the community [2]. It can cause various infections,
including hospital and community-acquired pneumonia, bloodstream
infections, lung abscesses, empyema, bacteremia, catheter-related
infections, wound or surgical site infections, upper and lower urinary
tract infection, liver abscess, and meningitis. Klebsiella pneumonia
infections occur particularly in patients with chronic Alcoholism,
Diabetes, chronic kidney disease, and those on long-term steroids. Less
common infection includes endophthalmitis, psoas muscle abscess, septic
arthritis, pyomyositis, and purulent pericarditis [3]. Multiorgan
infections can occur due to the embolic spread as a complication of
invasive liver abscess. Embolic Klebsiella infection appears to be a
rare complication (2%) [4]. However, it may lead to high morbidity
and mortality [5], here we present a case of metastatic klebsiella
pneumoniae in poorly controlled diabetic patient.