{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T04:04:07Z","timestamp":1789790647697,"version":"4.0.1"},"reference-count":14,"publisher":"Japanese Society of Internal Medicine","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intern. Med."],"published-print":{"date-parts":[[2026]]},"DOI":"10.2169\/internalmedicine.7396-26","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T22:11:39Z","timestamp":1789423899000},"source":"Crossref","is-referenced-by-count":0,"title":["A Case of Severe Pneumonia with Extensive Lung Abscesses Due to a &lt;i&gt;Klebsiella&lt;\/i&gt; Isolate Presumptively Identified as &lt;i&gt;Klebsiella Pneumoniae&lt;\/i&gt; Subsp. &lt;i&gt;Rhinoscleromatis&lt;\/i&gt;"],"prefix":"10.2169","author":[{"given":"Teruaki","family":"Nishiuma","sequence":"first","affiliation":[{"name":"Department of Respiratory Medicine, Kakogawa Central City Hospital, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasushi","family":"Ichikawa","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Kakogawa Central City Hospital, Japan"},{"name":"Department of Cardiology, Hyogo Prefectural Harima-Himeji General Medical Center, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuhei","family":"Kuroda","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Kakogawa Central City Hospital, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Goro","family":"Sakata","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Kakogawa Central City Hospital, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mao","family":"Fujii","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Kakogawa Central City Hospital, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuntaro","family":"Tokunaga","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Kakogawa Central City Hospital, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suya","family":"Hori","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Kakogawa Central City Hospital, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Mizusaka","sequence":"additional","affiliation":[{"name":"Department of Clinical Laboratory, Kakogawa Central City Hospital, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"962","reference":[{"key":"1","doi-asserted-by":"crossref","unstructured":"1. Wang M, Cao B, Yu Q, et al. Analysis of the 16S-23S rRNA gene internal transcribed spacer region in <i>Klebsiella<\/i> species. J Clin Microbiol 46: 3555-3563, 2008.","DOI":"10.1128\/JCM.00927-08"},{"key":"2","doi-asserted-by":"crossref","unstructured":"2. Botelho-Nevers E, Gouriet F, Lepidi H, et al. Chronic nasal infection caused by <i>Klebsiella rhinoscleromatis<\/i> or <i>Klebsiella ozaenae<\/i>: two forgotten infectious diseases. Int J Infect Dis 11: 423-429, 2007.","DOI":"10.1016\/j.ijid.2006.10.005"},{"key":"3","doi-asserted-by":"crossref","unstructured":"3. Yinnon AM, Butnaru A, Raveh D, Jerassy Z, Rudensky. <i>Klebsiella<\/i> bacteraemia: community versus nosocomial infection. QJM 89: 933-941, 1996.","DOI":"10.1093\/qjmed\/89.12.933"},{"key":"4","doi-asserted-by":"crossref","unstructured":"4. Kumade E, Furusyo N, Takeshima N, et al. A case of lobar pneumonia and sepsis with death caused by invasive <i>Klebsiella rhinoscleromatis<\/i> infection. J Infect Chemother 22: 707-711, 2016.","DOI":"10.1016\/j.jiac.2016.03.004"},{"key":"5","doi-asserted-by":"crossref","unstructured":"5. Merbouh M, El Aidouni G, Housni B. Invasive <i>Klebsiella rhinoscleromatis<\/i> infection leading to ARDS, septic shock, and death: a rare case report. Radiol Case Rep 18: 2574-2576, 2023.","DOI":"10.1016\/j.radcr.2023.04.052"},{"key":"6","doi-asserted-by":"crossref","unstructured":"6. Corelli B, Almeida AS, Sonego F, et al. Rhinoscleroma pathogenesis: the type K3 capsule of <i>Klebsiella rhinoscleromatis<\/i> is a virulence factor not involved in Mikulicz cells formation. PLoS Negl Trop Dis 12: e0006201, 2018.","DOI":"10.1371\/journal.pntd.0006201"},{"key":"7","doi-asserted-by":"crossref","unstructured":"7. Vila A, Cassata A, Pagella H, et al. Appearance of <i>Klebsiella pneumoniae<\/i> liver abscess syndrome in Argentina: case report and review of molecular mechanisms of pathogenesis. Open Microbiol J 5: 107-113, 2011.","DOI":"10.2174\/1874285801105010107"},{"key":"8","doi-asserted-by":"crossref","unstructured":"8. Martin RM, Bachman MA. Colonization, infection, and the accessory genome of <i>Klebsiella pneumoniae<\/i>. Front Cell Infect Microbiol 8: 4, 2018.","DOI":"10.3389\/fcimb.2018.00004"},{"key":"9","doi-asserted-by":"crossref","unstructured":"9. Zhu J, Wang T, Chen L, Du H. Virulence factors in hypervirulent <i>Klebsiella pneumoniae<\/i>. Front Microbiol 12: 642484, 2021.","DOI":"10.3389\/fmicb.2021.642484"},{"key":"10","doi-asserted-by":"crossref","unstructured":"10. Fang CT, Chuang YP, Shun CT, Chan SC, Wang JT. A novel virulence gene in <i>Klebsiella pneumoniae<\/i> strains causing primary liver abscess and septic metastatic complications. J Exp Med 199: 697-705, 2004.","DOI":"10.1084\/jem.20030857"},{"key":"11","doi-asserted-by":"crossref","unstructured":"11. Yu WL, Ko WC, Cheng KC, et al. Association between rmpA and magA genes and clinical syndromes caused by <i>Klebsiella pneumoniae<\/i> in Taiwan. Clin Infect Dis 42: 1351-1358, 2006.","DOI":"10.1086\/503420"},{"key":"12","doi-asserted-by":"crossref","unstructured":"12. Brisse S, Fevre C, Passet V, et al. Virulent clones of <i>Klebsiella pneumoniae<\/i>: identification and evolutionary scenario based on genomic and phenotypic characterization. PLoS One 4: e4982, 2009.","DOI":"10.1371\/journal.pone.0004982"},{"key":"13","doi-asserted-by":"crossref","unstructured":"13. Hart CA, Rao SK. Rhinoscleroma. J Med Microbiol 49: 395-396, 2000.","DOI":"10.1099\/0022-1317-49-5-395"},{"key":"14","doi-asserted-by":"crossref","unstructured":"14. de Pontual L, Ovetchkine P, Rodriguez D, et al. Rhinoscleroma: a French national retrospective study of epidemiological and clinical features. Clin Infect Dis 47: 1396-1402, 2008.","DOI":"10.1086\/592966"}],"container-title":["Internal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/internalmedicine\/advpub\/0\/advpub_7396-26\/_pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T03:30:55Z","timestamp":1789788655000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/internalmedicine\/advpub\/0\/advpub_7396-26\/_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":14,"URL":"https:\/\/doi.org\/10.2169\/internalmedicine.7396-26","relation":{},"ISSN":["0918-2918","1349-7235"],"issn-type":[{"value":"0918-2918","type":"print"},{"value":"1349-7235","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"7396-26"}}