14 October 2025
: Case report 
Klebsiella pneumoniae Invasive Syndrome without Liver Abscess: A Case Report
Challenging differential diagnosis, Management of emergency care, Clinical situation which can not be reproduced for ethical reasons, Rare coexistence of disease or pathology
Parth M. Dhamelia
ABCDEF 1*, Dipak R. Mokariya ABCDEF 1, Jaspreet Singh Anand EF 1, Rohit A. Chitale EF 2, Justin Oring ABCDEF 3
DOI: 10.12659/AJCR.949163
Am J Case Rep 2025; 26:e949163
Figure 1 PET-CT and MRI imaging demonstrating metastatic lesions(A) Brain MRI displaying 2 metastatic foci at the gray-white matter junction. The larger left-sided lesion is associated with surrounding vasogenic edema, correlating with the patient’s presenting neurological symptoms. (B) MRI of the spine illustrating a vertebral abscess involving the L5–S1 levels. (C) Sagittal PET-CT scan demonstrating hypermetabolic lesions involving the cervical and lumbosacral vertebrae, consistent with metastatic disease. (D) Axial PET-CT scan reveals metabolically active lesion within the spleen; no abnormalities within the liver parenchyma. (E) PET-CT scan showing increased radiotracer uptake involving the left knee joint.