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Table 2 Clinical characteristics of four patients infected with putative Hv-CRKP

From: Pyogenic liver abscess-caused Klebsiella pneumoniae in a tertiary hospital in China in 2017: implication of hypervirulent carbapenem-resistant strains

 

Patient 15 (H15)

Patient 36 (H36)

Patient 38 (H38)

Patient 42 (H42)

Clinical characteristics

    

 City

Huangshan

Hangzhou

Hangzhou

Huzhou

 Ward

Department of Infectious Diseases

Department of Infectious Diseases

Anorectal Surgery, Intensive Care Unit, Department of Infectious Diseases

Department of Infectious Diseases

 Underlying conditions

Septicemia, pneumonia, post-cholecystectomy, hepatic syst, cervical abscess

Dysfunction of liver, hepatic failure, Sjogren's syndrome, cholecystolithiasis, pulmonary infection, cervical erosion

General peritonitis, enterobrosis, intestinal obstruction, postoperative colon cancer, alcoholic liver disease, hypertension, diabetes mellitus, splenomegaly

Urinary tract infection, brain contusion, intracranial hemorrhage, epilepsia, hypertension

Invasive procedures

    

 Mechanical ventilation

No

Yes

Yes

No

 Drainage catheters

No

Abdominal drainage tube

Abdominal drainage tube

No

 Surgery

No

Yes

Yes

Yes

 Date of admission

2017-11-3

2017-5-17

2017-5-31

2017-8-2

 Date of specimen collection

2017-11-17

2017-7-21

2017-7-20

2017-9-25

 Infection type

Pyogenic liver abscess

Abdominal infection

Peritonitis

Urinary tract infection, blood stream infection

 Specimen type

Puncture fluid

Abscess

Drainage

Drainage

 Prior treatment with broad spectrum antibiotics > 7 days within 2 months

Yes

Yes

No

No

 Hospitalization within 90 days

No

No

No

No

Clinical presentations

    

 Temperature (Tmax) (℃)

40.4

38.4

38.3

39.1

 Septic shock

No

Yes

Yes

No

 WBC (109/L)

13.6

9.6

26.3

21.4

 C-reactive protein (mg/L)

108.7

203

60.38

124

 PaO2/FiO2

 

96.8

89%

 

 ALT (IU/L)

89

139

55

43

 LDH (U/L)

215

270

284

 

 Cr (μmol/L)

34

35

113

60

 Antimicrobials used after isolation of K. pneumoniae

Tigecycline, meropenem

Tigecycline, amikacin

Piperacillin/tazobactam, meropenem

Tigecycline, meropenem, polymyxin

Clinical outcomes

    

 Length of stay (days)

14

64

50

53

 Days of mechanical ventilation

0

9

15

0

 Duration of ICU stay (days)

0

21

30

0

 Outcome

Survived

Died

Died

Died

  1. WBC white blood cells, PaO2/FiO2 alveolar oxygen partial pressure/fraction of inspiration oxygen, IU international unit, ALT alanine aminotransferase, LDH lactic dehydrogenase, Cr creatinine, ICU intensive care unit