title: Septic endophthalmitis and meningitis associated with Klebsiella pneumoniae liver abscess.
abstract: We report a female case of septic endophthalmitis and meningitis associated with Klebsiella pneumoniae liver abscess which was thought to be caused by duodeno-biliary reflux related to choledochoduodenostomy. We treated this patient by ultrasonography-guided percutaneous abscess drainage and intravenous administration of third generation antibiotics. However, the visual function of her left eye was eventually lost. Reports of liver abscess with metastatic lesions are rare, and our experience suggests that more physicians should be alert to septic metastatic lesions such as K. pneumoniae liver abscess or bacteremia with complaints of ocular or central nervous system symptoms.
authors.affiliation: First Department of Internal Medicine, Mie University School of Medicine, 2-174 Edobashi, 514-8507, Mie, Tsu, Japan
authors.forename: Shigeru
authors.initials: S
authors.lastname: Ohmori
authors.forename: Katsuya
authors.initials: K
authors.lastname: Shiraki
authors.forename: Keiichi
authors.initials: K
authors.lastname: Ito
authors.forename: Hidekazu
authors.initials: H
authors.lastname: Inoue
authors.forename: Takeshi
authors.initials: T
authors.lastname: Ito
authors.forename: Takahisa
authors.initials: T
authors.lastname: Sakai
authors.forename: Koujiro
authors.initials: K
authors.lastname: Takase
authors.forename: Takeshi
authors.initials: T
authors.lastname: Nakano