Community-acquired Klebsiella oxytoca causing splenic abscess

摘要

A 48-year-old female with diabetes mellitus and peripheral vascular disease presented to the emergency department with a history of vomiting for 1 day and mild, intermittent, lower abdominal pain for 4 weeks. She denied fever, chills, diarrhea, recent antibiotic use, trauma, and travel. Her last hospitalization had been two years prior. Initial vital signs were unremarkable. Abdominal examination indicated mild left lower quadrant tenderness, no rebound tenderness, no rigidity, and no hepatosplenomegaly.