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.