Klebsiella in the feces of an adult and a child

, medical expert
Last reviewed: 09.11.2022

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Klebsiella is a type of enterobacteria, which is an opportunistic pathogen. These are capsule-shaped gram-negative rods, arranged singly, in pairs or in chains. They are considered very dangerous, because. Resistant to existing antibiotics. They are found on the skin, respiratory tract, water, soil, vegetables and fruits, feces. The shell helps them survive in any nutrient medium, they can exist without air, and only boiling destroys them.

Klebsiella norm in stool analysis

Klebsiella is detected in the study of feces for dysbacteriosis. Its presence is not a sign of pathology if it does not exceed the norm - 10 5  cells per gram.

In order for the bacterium to become active, factors conducive to this are necessary: weakened immunity, long-term use of antibiotics, ignoring the rules of hygiene (unwashed hands, food), diabetes, alcoholism and drug addiction. [1]

Klebsiella pneumonia in feces

There are 7 varieties of Klebsiella , one of which is Klebsiella pneumoniae. It was originally discovered as the causative agent of pneumonia, hence the name. Later it was found that its reproduction leads to the release of toxins, the defeat of which causes other diseases, including urogenital cystitis, abscesses of the spleen, liver, pleurisy and a number of other diseases. The bacillus is found in the stool. [2]

Klebsiella oxytoca in feces

Another type of bacteria found in feces is Klebsiella oxytoca. It provokes disorders of the digestive system, pneumonia, klebsiellosis. [3]

Klebsiella in adult feces

Klebsiella is transmitted by the fecal-oral and contact-household route. The weakened body of an adult, ignoring the rule of clean hands, sufficient heat treatment of products, is attacked by an opportunistic bacterium, causing acute symptoms. Fecal analysis reveals an exponential increase in bacilli.

If one person in the family gets sick, there is a high probability that others will be infected.

Klebsiella in the feces of a child

Children are especially susceptible to the disease, as they often come into contact with animals and do not realize the importance of hygiene. Klebsiella for the time being can coexist peacefully inside them, but only the right moment for their activation comes and the disease manifests itself.

Cases of Klebsiella infection in infants are common. Immunity in newborns is weak, not fully formed, the mucous membranes of the internal organs are sterile, therefore they are highly susceptible to the harmful effects of bacillus toxins. They usually have oxytoxes in their stool.

You can get infected from adults by airborne droplets, while the carriers themselves do not suffer, their defenses cope with the bacterium. Other ways to catch pathology are dirty pacifiers, nipples, toys, and also when feeding - fermented milk products, meat may contain it.


Symptoms of Klebsiella infection depend on the location of the lesion. If the gastrointestinal tract is affected, then symptoms of acute poisoning will appear:

  • abdominal pain;
  • nausea and vomiting,
  • high body temperature;
  • diarrhea;
  • body aches;
  • lack of appetite.

Pneumonia caused by Klebsiella gives a sharp jump in temperature above 39ºС, a strong cough, sometimes with blood fragments in sputum. It is also possible to develop rhinitis, sinusitis, conjunctivitis with manifestations characteristic of these diseases: runny nose, lacrimation, pain and pain in the eyes, nasal congestion.

The genitourinary system is often affected: cystitis, pyelonephritis are diagnosed, accompanied by frequent urination, painful urination, cloudy urine, pain in the lower abdomen, often radiating to the back, fever.

In women and girls, Klebsiella can cause vaginitis, which is characterized by profuse white or gray vaginal discharge with an unpleasant odor, itching.

Not an exception is the involvement of the skeletal system in the pathological process, including the provocation of inflammation of the joints.


With the defeat of Klebsiella, antibiotics are prescribed that are sensitive to the pathogen. It can be gentamicin, amikacin, cephalosporins: cefotaxime, cefuroxime. The bacillus is also destroyed with the help of viral agents - bacteriophages: Klebsiel pneumonia, oxycyte, polyvalent.

In parallel, enzymes are used: pancreatin, linex, festal; rehydration solutions. In severe cases, immunostimulants are appropriate. The course of treatment can last from a week to three. For rehabilitation, probiotics, vitamin preparations, herbal preparations are used.

Proper and timely treatment gives a favorable prognosis for recovery, but the progression of bacilli reproduction causes dangerous consequences, even death.

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