Clinical Vignette

Clinical Diagnosis: 

Disseminated Klebsiella pneumoniae infection with multifocal abscesses

- brain, prostate, kidneys

Management:

Empiric antimicrobials: 

IV Ampicillin/Ceftriaxone/Acyclovir/Vancomycin

rationalised to:

IV Ceftriaxone + Metronidazole 

Referral to NS: advised conservative management with a repeat MRI after 1 week 

Referral to Eye: no endophthalmitis 

Prostatic abscess drained: Klebsiella pneumoniae