{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T21:57:02Z","timestamp":1782165422738,"version":"3.54.5"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"11-12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,11,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>Antibiotics and drainage have largely replaced hepatic resection for the treatment of liver abscesses in the modern era; however, in cases caused by a rare strain of Klebsiella pneumoniae with a hypermucoviscous phenotype, more aggressive hepatic resection may be required. The patient is a 34-year-old male who presented to Landstuhl Regional Medical Center with a week of epigastric pain. His workup revealed a 6\u2009cm liver abscess with growth to 10\u2009cm in 48\u2009hours. He underwent multiple drainage procedures at Landstuhl and then was transferred to Walter Reed where further surgical drainage was performed. Initial cultures demonstrated K. pneumoniae. He clinically improved and was able to discharge after a 2\u2009week hospitalization. His final remaining surgical drain was removed as an outpatient, but 48 hours after removal, he was admitted to the intensive care unit in septic shock. Imaging revealed a 12\u2009cm liver abscess, and cultures verified hypermucoviscous Klebsiella. After multidisciplinary discussion and counseling, he underwent an open right partial hepatectomy. Postoperatively he gradually recovered from his sepsis and major operation and then returned to his home in Landstuhl. This is a case of a rare hypermucoviscous variant of K. pneumoniae causing a liver abscess resistant to multiple drainage procedures, ultimately requiring open hepatic surgical resection for source control. This remains a last-resort option in the treatment of liver abscesses and should be considered early when caused by this rare strain of Klebsiella.<\/jats:p>","DOI":"10.1093\/milmed\/usad124","type":"journal-article","created":{"date-parts":[[2023,4,26]],"date-time":"2023-04-26T20:09:42Z","timestamp":1682539782000},"page":"e3720-e3725","source":"Crossref","is-referenced-by-count":5,"title":["Rare Hypermucoviscous <i>Klebsiella pneumoniae<\/i> Liver Abscess in an Active Duty Male Requiring Partial Liver Resection for Definitive Treatment"],"prefix":"10.1093","volume":"188","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8918-0869","authenticated-orcid":false,"given":"Nicholas","family":"Michael","sequence":"first","affiliation":[{"name":"Department of Surgery, Walter Reed National Military Medical Center , Bethesda, MD 20889, 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