{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T12:25:54Z","timestamp":1781007954838,"version":"3.54.1"},"reference-count":30,"publisher":"Wiley","license":[{"start":{"date-parts":[[2018,10,23]],"date-time":"2018-10-23T00:00:00Z","timestamp":1540252800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Infectious Diseases"],"published-print":{"date-parts":[[2018,10,23]]},"abstract":"\n Osteomyelitis is commonly caused by\n Staphylococci<\/jats:italic>\n ,\n Streptococci<\/jats:italic>\n ,\n Escherichia coli<\/jats:italic>\n , and anaerobes. There have been cases of rare organisms like\n Klebsiella pneumoniae<\/jats:italic>\n (\n Kp<\/jats:italic>\n ) being initially overlooked as causes of osteomyelitis. We report a case of an elderly cirrhotic adult male transferred for further management of liver failure, who was subsequently diagnosed with\n Kp<\/jats:italic>\n osteomyelitis and sepsis. He had a history of blunt leg trauma, and MRI of the leg revealed osteomyelitis, with a negative workup for other sources of infection.\n Kp<\/jats:italic>\n osteomyelitis is reported in less than 100 cases, mainly in pediatric and sickle-cell patients. There are no pathognomonic imaging findings. Lesions may be metastatic, with rapid widespread destruction and exuberant periosteal reaction.\n Kp<\/jats:italic>\n is a rare, under recognized cause of osteomyelitis in immune-suppressed adults. Given its pathogenicity, early identification is critical.\n <\/jats:p>","DOI":"10.1155\/2018\/3183805","type":"journal-article","created":{"date-parts":[[2018,10,23]],"date-time":"2018-10-23T20:37:08Z","timestamp":1540327028000},"page":"1-4","source":"Crossref","is-referenced-by-count":2,"title":["Primary\n Klebsiella pneumoniae<\/i>\n Osteomyelitis with Bacteremia and Sepsis in a Patient with Cirrhosis"],"prefix":"10.1155","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5821-048X","authenticated-orcid":true,"given":"Akshay","family":"Khatri","sequence":"first","affiliation":[{"name":"Department of Medicine, New York Medical College at Westchester Medical Center, Valhalla, NY 10595, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naga Sasidhar","family":"Kanaparthy","sequence":"additional","affiliation":[{"name":"Department of Medicine, New York Medical College at Westchester Medical Center, Valhalla, NY 10595, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9530-0262","authenticated-orcid":true,"given":"Bright Jebaraj","family":"Selvaraj","sequence":"additional","affiliation":[{"name":"Department of Medicine, New York Medical College at Westchester Medical Center, Valhalla, NY 10595, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eunna","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Medicine, New York Medical College at Westchester Medical Center, Valhalla, NY 10595, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc Y.","family":"El Khoury","sequence":"additional","affiliation":[{"name":"Department of Medicine, New York Medical College at Westchester Medical Center, Valhalla, NY 10595, USA"},{"name":"Division of Infectious Diseases, New York Medical College at Westchester Medical Center, Valhalla, NY 10595, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","first-page":"479","volume-title":"Acute and chronic osteomyelitis","year":"2008"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(04)16727-5"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.idc.2017.01.010"},{"issue":"4","key":"4","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1016\/S0891-8422(23)00836-4","volume":"13","year":"1996","journal-title":"Clinics in Podiatric Medicine and Surgery"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-57-2-281"},{"key":"6","first-page":"1412","volume":"30","year":"1989","journal-title":"Journal of Nuclear 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