J Korean Ophthalmol Soc.  2009 Oct;50(10):1590-1594. 10.3341/jkos.2009.50.10.1590.

Two Cases of Bilateral Endogenous Klebsiella pneumoniae Endophthalmitis in Primary Klebsiella pneumoniae Liver Abscess Patients

• Han JM
• Kim NJ

• KMID: 2212781
• DOI: http://doi.org/10.3341/jkos.2009.50.10.1590

Abstract

PURPOSE
To report 2 cases of bilateral endogenous endophthalmitis in patients with Klebsiella pneumoniae primary liver abscess. CASE SUMMARY: A 78-year-old woman and a 76-year-old woman presented with bilateral blurred vision for 2 to 3 days. The women had fever, cough, and chills for 5 to 10 days. Abdominal computed tomography revealed liver abscess and ophthalmologic examination results suggested bilateral endophthalmitis. In both patients, Klebsiella pneumoniae was identified from the liver abscess aspirate. In one patient, Klebsiella pneumoniae was also identified from a vitreous sample. Both patients lost their vision despite intravitreal and intravenous antibiotics injection.

Keyword

Bilateral endogenous endophthalmitis; Klebsiella pneumoniae; Primary liver abscess

MeSH Terms

Aged
Anti-Bacterial Agents
Chills
Cough
Endophthalmitis
Female
Fever
Humans
Klebsiella
Klebsiella pneumoniae
Liver
Liver Abscess
Vision, Ocular
Anti-Bacterial Agents

Figure

• 

  Figure 1. Photographs of patient 1. (A) Photograph of the right eye on the day of admission. Note severe corneal edema and hypopyon. (B) Ultrasonography revealed vitreous opacity and choroidal thickening. (C) On abdominal computed tomography (CT), multiseptated cystic mass (about 6.7×3.9×3.8 cm in size) with adjacent parenchymal enhancement was found in the right lobe of the liver, which confirmed the diagnosis of liver abscess. (D) Photograph of the left eye on the 4th day of admission. Note the corneal perforation and uveal prolapse.

• 

  Figure 2. Abdominal CT finding of patient 2. Low attenuated, 6 cm-sized mass was found at the left lobe of the liver, consistent with liver abscess.

Reference

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