Intensive Care Medicine

, Volume 42, Issue 12, pp 2092–2093 | Cite as

Hypermucoviscous Klebsiella pneumoniae pneumonia: follow the string!

  • Manal Mazloum
  • Matthieu Le Meur
  • Guilene Barnaud
  • Jonathan MessikaEmail author
Imaging in Intensive Care Medicine


Prostate Cancer Oxygen Saturation Lactic Acid Cefotaxime Acute Kidney Injury 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



The authors want to thank Prof. J.D. Ricard for his advice on the manuscript.

Compliance with ethical standards

Informed consent

Written informed consent for publication of these images is not required as these observational images did not modify diagnostic or therapeutic strategy. The patient’s identity has been kept confidential, and cannot be traced from the submitted material.

Conflicts of interest

Jonathan Messika received consultancy fees from Basilea Pharmaceutica.

Supplementary material

The string test is performed by stretching a bacterial colony on an agar plate with a loop. This maneuver allows the formation of a viscous string greater than 5 mm when the strain exhibits a hypermucoviscous phenotype


  1. 1.
    Fang CT, Chuang YP, Shun CT et al (2004) A novel virulence gene in Klebsiella pneumoniae strains causing primary liver abscess and septic metastatic complications. J Exp Med 199:697–705. doi: 10.1084/jem.20030857 CrossRefPubMedPubMedCentralGoogle Scholar
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    Shon AS, Bajwa RPS, Russo TA (2013) Hypervirulent (hypermucoviscous) Klebsiella pneumoniae: a new and dangerous breed. Virulence 4:107–118. doi: 10.4161/viru.22718 CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg and ESICM 2016

Authors and Affiliations

  • Manal Mazloum
    • 1
  • Matthieu Le Meur
    • 1
  • Guilene Barnaud
    • 2
  • Jonathan Messika
    • 1
    • 3
    • 4
    Email author
  1. 1.Service de Réanimation Médico-ChirurgicaleAP-HP, Hôpital Louis MourierColombesFrance
  2. 2.Service de Microbiologie-HygièneAP-HP, Hôpital Louis MourierColombesFrance
  3. 3.INSERM, IAME, UMR 1137ParisFrance
  4. 4.Univ Paris Diderot, IAME, UMR 1137, Sorbonne Paris CitéParisFrance

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