Endogenous Endophthalmitis Associated with Pyogenic Liver Abscess Caused by Klebsiella pneumoniae

Intern Med. 2019 Sep 1;58(17):2507-2514. doi: 10.2169/internalmedicine.2684-19. Epub 2019 May 22.

Abstract

We report 2 cases of endogenous endophthalmitis associated with pyogenic liver abscess caused by Klebsiella pneumoniae. Case 1 involved a 70-year-old woman and case 2 involved a 50-year-old man who were admitted to our hospital with diagnoses of liver abscess and endogenous endophthalmitis, respectively. The liver abscess resolved with antibiotics and percutaneous transhepatic drainage in case 1 and with antibiotics alone in case 2. Even though both cases underwent ophthalmic surgery, they were discharged from our hospital without the recovery of their eyesight. An earlier diagnosis and treatment are needed to improve the prognosis of endophthalmitis.

Keywords: Klebsiella pneumoniae; endophthalmitis; liver abscess.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Drainage
  • Endophthalmitis / complications
  • Endophthalmitis / diagnosis
  • Endophthalmitis / microbiology*
  • Endophthalmitis / therapy
  • Female
  • Humans
  • Klebsiella Infections / diagnosis*
  • Klebsiella Infections / drug therapy
  • Klebsiella pneumoniae*
  • Liver Abscess, Pyogenic / complications
  • Liver Abscess, Pyogenic / diagnosis
  • Liver Abscess, Pyogenic / microbiology*
  • Liver Abscess, Pyogenic / therapy
  • Male
  • Middle Aged
  • Prognosis
  • Vision Disorders / etiology

Substances

  • Anti-Bacterial Agents