Korean J Nephrol.
2009 May;28(3):253-258.
A Case of Endogenous Klebsiella Endophthalmitis Associated with Acute Pyelonephritis in a Patient with Chronic Renal Failure
- Affiliations
-
- 1Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea. ihlee@cu.ac.kr
- 2Department of Radiology, Catholic University of Daegu School of Medicine, Daegu, Korea.
- 3Department of Ophthalmology, Catholic University of Daegu School of Medicine, Daegu, Korea.
Abstract
- Endogenous endophthalmitis is any inflammation of the internal ocular space that usually has a poor prognosis for visual recovery, and is a rare complication of Klebsiella pneumoniae septicemia. We report here a case of endogenous endophthalmitis due to K. pneumoniae in a patient with acute pyelonephritis and chronic renal failure who did not have any history of diabetes mellitus. A 75-year-old woman was admitted to our hospital, complaining of severe pain and decreased vision in the right eye, accompanied by fever and nausea, of 48 hours' duration. Ophthalmologic evaluation and intervention were performed. Blood, urine and vitreous cultures were all positive for K. pneumoniae. She was treated with intravenous antibiotics, intravitreal antibiotics injection and pars plana vitrectomy. However, her right eye showed progressive worsening to enucleation, and she has been on maintenance hemodialysis ever since.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- A Case of Endogenous endophthalmitis Caused by Klebsiella Pneumoniae from Emphysematous Pyelonephritis
- Klebsiella pneumoniae Brain Abscess and Endophthalmitis after Acute Epiglottitis
- A Case of Renal Abscess associated with endogeneous endophthalmitis and septic pulmonary embolism by Klebsiella pneumoniae
- Clinical Aspect of Bacterial Endogenous Endophthalmitis
- Endogenous Klebsiella Endophthalmitis Concurrent with Prostate and Perianal Abscesses
