Korean J Urol.  2008 Nov;49(11):1055-1057. 10.4111/kju.2008.49.11.1055.

Endogenous Klebsiella Endophthalmitis Concurrent with Prostate and Perianal Abscesses

• Jung TS
• Kim GW
• Koh JI
• Yang WJ
• Kim TH
• Choi KS
• Song YS
• Park YH

• KMID: 1328182
• DOI: http://doi.org/10.4111/kju.2008.49.11.1055

Abstract

Endogenous endophthalmitis is a sight-threatening ophthalmic emergency that requires vitrectomy unless prompt treatment is undertaken. It is usually caused by hematogenous spread from a distant endogenous focus of infection. We treated a patient with endogenous endophthalmitis who also had prostate and perianal abscesses caused by Klebsiella pneumoniae. Clinicians should entertain the possibility of endogenous endophthalmitis if a patient with a urologic disease such as a prostate abscess or acute prostatitis resulting in bacteremia complains of ophthalmologic symptoms.

Keyword

Prostate; Abscess; Endophthalmitis; Klebsiella pneumoniae

Figure

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  Fig. 1. Ultrasonography of the right eye revealed dense vitreous opacities (arrow).

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  Fig. 2. CT scan revealed (A) a heterogeneous low density lesion in the periphery of the enlarged prostate and (B) a 2.4x2cm enhancing peripheral mass in the posterolateral wall of the deep anal canal.

Reference

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