J Korean Ophthalmol Soc.  2000 Apr;41(4):1000-1005.

A Case of Endogenous Endophthalmitis Accompanying Orbital Cellulitis Caused by Klebsiella Pneumoniae from Liver Abscess

Affiliations
  • 1Department of Ophthalmology, Ilsan Paik Hospital, College of Medicine, Inje University.
  • 2Department of Ophthalmology, College of Medicine, The Catholic University of Korea.

Abstract

Endogenous endophthalmitis is rare, but when it occurs, there is high probability of visual loss in spite of early diagnosis and treatment. But in many patients, it is difficult to find exact primary site, and even if there is a presumed site, it is difficult to disclose causative organisms. As a result, proper antibiotic treatmaent may not be carried out in some cases. In a 55 year old man who suffered from liver abscess, we experienced a case of endogenous endophthalmitis accompanied by severe orbital cellulitis caused by klebsiella pneumoniae from liver abscess, and ocular symptom improved after identification of pathogen and antibiotic administration. However visual loss could not be prevented. So, we first report this case with a review of available literatures and remind seriousness of this disease at the same time.

Keyword

Endogenous endophthalmitis; Klebsiella pneumoniae; Liver abscess

MeSH Terms

Early Diagnosis
Endophthalmitis*
Humans
Klebsiella pneumoniae*
Klebsiella*
Liver Abscess*
Liver*
Middle Aged
Orbit*
Orbital Cellulitis*
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