{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:50:50Z","timestamp":1782384650223,"version":"3.54.5"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Zhengzhou Medical and Health Field Science and Technology Innovation Guidance Program Project","award":["2025YLZDJH322"],"award-info":[{"award-number":["2025YLZDJH322"]}]},{"name":"National Traditional Chinese Medicine Advantageous Specialty","award":["cz0338\u201303"],"award-info":[{"award-number":["cz0338\u201303"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Hypervirulent Klebsiella pneumoniae (hvKp) can cause invasive biliary infection with rapid progression and frequent complications. We report a 70-year-old man with type 2 diabetes and chronic renal insufficiency presenting with abdominal pain. Imaging revealed choledocholithiasis, cholecystitis, and a large intra-abdominal abscess. He underwent ERCP with stone extraction and biliary drainage, followed by laparoscopic cholecystectomy and abscess drainage. Pus culture confirmed K. pneumoniae infection. Postoperative stress ulcer bleeding and coagulation dysfunction occurred, but the patient recovered well. This case highlights the importance of early imaging, timely source control, and multidisciplinary management in high-risk patients.<\/jats:p>","DOI":"10.1093\/jscr\/rjag380","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T11:45:39Z","timestamp":1780487139000},"source":"Crossref","is-referenced-by-count":0,"title":["Biliary tract infection, abdominal abscess, and postoperative bleeding caused by highly virulent\n                    <i>Klebsiella pneumoniae<\/i>\n                    : a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Weiyi","family":"Sun","sequence":"first","affiliation":[{"name":"Department of General Surgery, The First Affiliated Hospital of Henan University of Chinese Medicine , No. 19 Renmin Road, Jinshui District, Zhengzhou, Henan Province, 450000 ,","place":["China"]},{"name":"The First Clinical Medical College of Henan University of Chinese Medicine , No. 156 Jinshui East Road, Zhengdong New District, Zhengzhou, Henan Province, 450046 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nan","family":"Yang","sequence":"additional","affiliation":[{"name":"The First Clinical Medical College of Henan University of Chinese Medicine , No. 156 Jinshui East Road, Zhengdong New District, Zhengzhou, Henan Province, 450046 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanyan","family":"Wang","sequence":"additional","affiliation":[{"name":"The Second Affiliated Hospital of Henan University of Chinese Medicine , No. 6 Dongfeng Road, Jinshui District, Zhengzhou, Henan Province, 450002 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The First Affiliated Hospital of Henan University of Chinese Medicine , No. 19 Renmin Road, Jinshui District, Zhengzhou, Henan Province, 450000 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