Vasculitic Rash: A Rare Complication of Klebsiella Liver Abscess in Uncontrolled Diabetes.
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All Authors
Iqbal, M.
Arslan, F.
Kamran, M.
Ahmar, M.
Jah, SMHM.
Hussain, A.
LTHT Author
Ahmar, Moaz
LTHT Department
Specialty & Integrated Medicine
Non Medic
Publication Date
2025
Item Type
Case Reports
Journal Article
Journal Article
Language
Subject
Subject Headings
Abstract
Klebsiella pneumoniae liver abscess (KPLA) is a known complication in patients with poorly controlled diabetes mellitus, frequently resulting in bacteremia and metastatic infections. However, cutaneous manifestations, such as vasculitic rash, are exceedingly rare. We present a case of a 45-year-old male with uncontrolled diabetes who was admitted with high-grade fever, rigors, and dyspnea. Within 24 h of admission, he developed a bilateral, purpuric, non-blanching rash on the lower limbs suggestive of vasculitis. Laboratory investigations revealed a negative vasculitis screen and positive blood cultures for Klebsiella pneumoniae (K. pneumoniae). Computed tomography of the abdomen identified a large subcapsular liver abscess. The patient was successfully treated with percutaneous radiologically guided drainage and broad-spectrum antibiotics. This case highlights that clinicians should consider infectious etiologies, such as K. pneumoniae in vasculitic rashes among diabetic patients, as misdiagnosis and inappropriate immunosuppression can worsen outcomes.
Journal
Cureus