Endogenous Klebsiella endophthalmitis--a case series.
Nine eyes of 7 patients with endogenous Klebsiella endophthalmitis are presented. Five patients were diabetic and 4 had sepsis arising from the hepatobiliary system, one from the urinary tract and another from the lung. The most classical sign of pupillary hypopyon was present in 5 eyes. Five eyes were initially misdiagnosed and treated as inflammatory uveitis. Five eyes finally had no light perception, one eye had 6/60, another had 6/36 and two eyes of one patient recovered 6/6 vision. The successful outcome of this patient achieving 6/6 vision in either eye can be partly attributed to an early diagnosis and appropriate management. A high index of suspicion may improve visual outcome in such cases.
Chee
S P
SP
Singapore National Eye Centre.
Ang
C L
CL
D000328:Adult; D000368:Aged; D048909:Diabetes Complications; D009877:Endophthalmitis / Q000150:complications / Q000175:diagnosis; D005260:Female; D006801:Humans; D007710:Klebsiella Infections / Q000150:complications / Q000175:diagnosis; D008100:Liver Abscess / Q000150:complications; D008297:Male; D008875:Middle Aged; D018805:Sepsis / Q000150:complications*