TY - JOUR AU - Schmiedecke, Stacey S.; Napolitano, Peter G.; Estrada, Sarah M. TI - Perinatal Pyogenic Liver Abscess: A Rare Entity and First Reported Case of Klebsiella pneumoniae SN - 2157-6998 SN - 2157-7005 PY - 2019 JO - AJP Rep JF - American Journal of Perinatology Reports LA - EN VL - 09 IS - 03 SP - e251 EP - e255 DA - 2019/08/20 KW - pyogenic liver abscess KW - liver abscess KW - pregnancy KW - sepsis KW - perinatal infection AB - Introduction Pyogenic liver abscess (PLA) is a rare clinical entity, occurring in ∼2.3 per 100,000 patients. Perinatal PLA syndromes are exceedingly rare with just seven previously described cases in the literature and no prior Klebsiella-associated reports.Case A 29-year-old gravida 2 para 1 woman at 11 weeks gestation reporting fever, body aches, and headache. Search for an infectious source identified a 4-cm liver abscess. Percutaneous drainage confirmed Klebsiella pneumoniae infection. The patient was treated with antibiotics until imaging verified complete resolution of the abscess.Conclusion PLA is an uncommon etiology of sepsis in pregnancy. A thorough workup until a source was identified resulted in accurate diagnosis. This allowed for directed therapy and prompt recovery, undoubtedly contributing to favorable pregnancy outcomes in this first report of Klebsiella-associated perinatal PLA. PB - Thieme Medical Publishers DO - 10.1055/s-0039-1692713 UR - http://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0039-1692713 ER -