Klebsiella pneumonia (Friedlander’s pneumonia) usually develops in elderly patients

with chronic pulmonary disease or in alcoholics. Radiological findings include

homogeneous parenchymal consolidation containing air bronchograms (Okada,
2009). The right upper lobe is most commonly involved. Infection usually induces
large inflammatory exudate, leading to an increased volume of the affected lobe. This
increased volume causes characteristic bulging of an adjacent interlobar fissure
(Figure 5). The complications consist of chronic pneumonia, lung abscess, and
pulmonary gangrene. Centrilobular nodules, bronchial wall thickening, and
bronchiectasis are seen in patients with other concurrent infections (Okada, 2010).

Okada F, Ando Y, Honda K, et al. Clinical and pulmonary thin-section CT findings in

acute Klebsiella Pneumoniae pneumonia. Eur Radiol 2009; 19: 809-815.

Okada F, Ando Y, Honda K, et al. Acute Klebsiella pneumonia pneumonia alone and
with concurrent infection: comparison of clinical and thin-section CT findings. Br J
Radiol 2010; 83: 854-860.
 Klebsiella pneumonia (pneumonia Friedlander) biasanya berkembang pada pasien
usia lanjut dengan penyakit paru kronis atau pecandu alkohol. Temuan radiologis
termasuk konsolidasi parenkim homogen yang mengandung bronkogram udara
(Okada, 2009). Lobus kanan atas paling sering terlibat. Infeksi biasanya menginduksi
eksudat inflamasi besar, menyebabkan peningkatan volume lobus yang terkena.
Peningkatan volume ini menyebabkan tonjolan karakteristik fisura interlobar yang
berdekatan (Gambar 5). Komplikasinya terdiri dari pneumonia kronis, abses paru, dan
gangren paru. Nodul centrilobular, penebalan dinding bronkial, dan bronkiektasis
terlihat pada pasien dengan infeksi bersamaan lainnya (Okada, 2010).

Okada F, Ando Y, Honda K, et al. Clinical and pulmonary thin-section CT findings in

acute Klebsiella Pneumoniae pneumonia. Eur Radiol 2009; 19: 809-815.

Okada F, Ando Y, Honda K, et al. Acute Klebsiella pneumonia pneumonia alone and
with concurrent infection: comparison of clinical and thin-section CT findings. Br J
Radiol 2010; 83: 854-860.

Garg, M. P, Nidhi. G, Ajay. Spectrum of Imaging Findings in Pulmonary Infections.

Polish Journal of Radiology. 2019