![creative collection by shon creative collection by shon](https://mir-s3-cdn-cf.behance.net/project_modules/max_1200/0360b652061225.5902f54bc19e6.jpg)
![creative collection by shon creative collection by shon](https://i.pinimg.com/736x/6d/8b/00/6d8b00764a1a81f78594a9ebfc298ca8--nautical-baby.jpg)
An abdominal ultrasound (US) scan detected a right hepatic lobe lesion that was both cystic and solid. Computerized tomography (CT) scan chest showed bilateral lung parenchymal nodules. Sputum and blood cultures were positive for Klebsiella pneumoniae. Complete blood count (CBC) showed a high white blood cell (WBC) count, very low platelet count, increased reticulocyte count, and significant elevation of schistocytes on peripheral blood film. On examination, he was vitally unstable, confused, and not oriented, with a Glasgow Coma Scale (GCS) of 9/15. In this paper, we report a case of TTP secondary to Klebsiella pneumoniae infection in a 38-year-old male patient, who presented with fever, cough, and shortness of breath for five days. Klebsiella pneumoniae infection can in very rare instances present with TTP and/or a metastatic-like presentation where the patient might have prostate, liver, brain, and lung abscesses mimicking late-stage solid organ malignancy.
![creative collection by shon creative collection by shon](https://sainoitnote.com/design-material/wp-content/uploads/2021/04/the-designers-unique-creative-collection-05-3-min.jpg)
The diagnosis is difficult due to the extensive overlap in the clinical manifestations of TTP and other illnesses. TTP is classified as a hematologic emergency because of the high mortality rate. The majority of cases are caused by a significant enzyme deficiency in the blood called the von Willebrand factor (VWF) cleaving protease (also called ADAMTS13). Thrombotic thrombocytopenic purpura (TTP) is a rare and potentially fatal disease.