Multidrug-resistant Klebsiella pneumoniae (MDR-KP) Infection in Post Cholecystectomy: A Case Report
Year: 2025
Type: article
Study design: Case Report
Abstract: Cholecystectomy, a common surgical procedure to remove the gallbladder, generally has a low complication rate. However, the emergence of MDR pathogens poses significant challenges in the post-operative management of infections. Multidrug-resistant Klebsiella pneumoniae (MDR-KP) is one of the most emerging issues in bacterial resistance. A 57 year-old woman came to the emergency unit at Dr. Soetomo General Academic Hospital with a chief complaint of pain in the upper and lower abdomen for four days. The patient had a history of cholecystectomy surgery in another hospital two weeks before admission. A cito laparotomy was performed. During surgery, turbid peritoneal fluid mixed with pus and abdominal wall fasciitis necroticans were found. From microbiology examination, MDR-KP was detected in pus. The patient was treated with Meropenem 1 g/8 hours and Amikacin 250 mg/8 hours. Unfortunately, the patient died due to sepsis and multi-organ dysfunctions. This case underscores the importance of vigilant post-operative monitoring and the need for effective infection control measures to manage and prevent MDR-KP infections in surgical patients. Enhanced surveillance and antibiotic stewardship are crucial to mitigating the risks associated with MDR organisms in healthcare settings.
Authors: Yelvi Levani, Agung Dwi Wahyu Widodo
Language: English
Subfield: Molecular Medicine
Domain: Life Sciences
Open Access status: gold
Estimated APC paid: $500
OpenAlex ID: W4416744981
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