title: Unusual clinical presentation of Klebsiella pneumoniae induced endogenous endophthalmitis and xanthogranulomatous pyelonephritis in a non-nephrolithiasis and non-obstructive urinary tract.
abstract: The genitourinary tract is well recognized as a route through which bacteria could gain access to the blood circulation. Under some circumstances, metastatic infections may occur in distant organs, including endogenous endophthalmitis. Xanthogranulomatous pyelonephritis (XGP) is an unusual variant of chronic pyelonephritis. It most often occurs in middle-aged women who frequently have a history of recurrent urinary tract infections combined with obstruction and a kidney of poor function. We reported an unusual case of urinary tract infection in a non-nephrolithiasis and non-obstructive urinary tract complicated by Klebsiella pneumoniae endogenous endophthalmitis and developed XGP in two months.
authors.affiliation: Department of Internal Medicine, Chang Gung Memorial Hospital, Taipei, Taiwan.
authors.forename: Hsin-Hung
authors.initials: HH
authors.lastname: Lin
authors.forename: Chu-Chun
authors.initials: CC
authors.lastname: Chien
authors.forename: Ji-Tseng
authors.initials: JT
authors.lastname: Fang
authors.forename: Rong-Hau
authors.initials: RH
authors.lastname: Lai
authors.forename: Chiu-Ching
authors.initials: CC
authors.lastname: Huang
mesh_terms: D000368:Aged; D009877:Endophthalmitis / Q000209:etiology* / Q000382:microbiology / Q000473:pathology; D006801:Humans; D007669:Kidney Calculi / Q000150:complications* / Q000382:microbiology / Q000473:pathology; D007710:Klebsiella Infections / Q000150:complications* / Q000382:microbiology / Q000473:pathology; D007711:Klebsiella pneumoniae / Q000302:isolation & purification*; D008297:Male; D011705:Pyelonephritis, Xanthogranulomatous / Q000209:etiology* / Q000382:microbiology / Q000473:pathology; D014570:Urologic Diseases / Q000150:complications* / Q000382:microbiology / Q000473:pathology