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Forehead abscess caused by Klebsiella oxytoca with undiagnosed type 2 diabetes

Won-Il Sohn1, Bommie F Seo, Sung-No Jung

  • 1Department of Plastic and Reconstructive Surgery, Uijeongbu St Mary's Hospital, College of Medicine, Catholic University of Korea, Uijongbu, Republic of Korea.

The Journal of Craniofacial Surgery
|May 26, 2012
PubMed

Insights

Klebsiella oxytoca, a rare pathogen, caused a forehead abscess in a patient. Prompt treatment with levofloxacin resolved the infection, revealing undiagnosed type 2 diabetes mellitus.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Clinical Case Study

Background:

  • Klebsiella species are opportunistic pathogens causing various infections, primarily Klebsiella pneumoniae.
  • Klebsiella oxytoca is infrequently isolated from human infections.
  • Soft tissue infections, like abscesses, can be caused by Klebsiella species in immunocompromised or severely ill patients.

Purpose of the Study:

  • To report a rare case of an extraorbital abscess caused by Klebsiella oxytoca.
  • To highlight the association between Klebsiella oxytoca infection and previously undiagnosed type 2 diabetes mellitus.
  • To review the diagnosis, pathogenesis, and treatment of Klebsiella oxytoca infections.

Main Methods:

  • Case report of a 48-year-old male patient with a forehead abscess.
  • Percutaneous drainage of the abscess and isolation of Klebsiella oxytoca from pus.
  • Parenteral levofloxacin administration for treatment.
  • Diagnostic workup for underlying illnesses, including diabetes screening.

Main Results:

  • Klebsiella oxytoca was isolated from a forehead abscess in a 48-year-old male.
  • The patient's infection resolved following treatment with parenteral levofloxacin.
  • The patient was diagnosed with type 2 diabetes mellitus, previously undiagnosed.
  • This represents the first reported case of an extraorbital abscess caused by K. oxytoca in a patient with undiagnosed diabetes.

Conclusions:

  • Klebsiella oxytoca can cause rare but significant infections, such as extraorbital abscesses.
  • Infections by K. oxytoca may indicate underlying conditions like type 2 diabetes mellitus.
  • Early diagnosis and appropriate antibiotic treatment, such as levofloxacin, are crucial for managing K. oxytoca infections.

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