title: Endogenous endophthalmitis and disseminated intravascular coagulation complicating a Klebsiella pneumoniae perirenal abscess in a patient with type 2 diabetes.
abstract: We describe a 56-year-old woman with type 2 diabetes complicated by a Klebsiella pneumoniae perirenal abscess. The patient further developed incipient diabetic ketoacidosis, disseminated intravascular coagulation, and endogenous endophthalmitis. Occurrence of the latter as a metastatic infection from perirenal abscess caused by this organism is very rare, and we know of no previously reported patient with the additional occurrence of disseminated intravascular coagulation. Since prompt intravitreal antibiotic administration is needed, physicians should be aware of these rare but severe complications of K pneumoniae infection, especially in patients with poorly controlled diabetes.
authors.affiliation: Department of Medicine, Koshigaya Hospital, Dokkyo University School of Medicine, Koshigaya, Japan. takeb@gmail.plala.or.jp
authors.forename: Kohzo
authors.initials: K
authors.lastname: Takebayashi
authors.forename: Sachiko
authors.initials: S
authors.lastname: Matsumoto
authors.forename: Yayoi
authors.initials: Y
authors.lastname: Nakagawa
authors.forename: Sadao
authors.initials: S
authors.lastname: Wakabayashi
authors.forename: Yoshimasa
authors.initials: Y
authors.lastname: Aso
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Inukai
mesh_terms: D000038:Abscess / Q000150:complications / Q000382:microbiology*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D016883:Diabetic Ketoacidosis / Q000209:etiology*; D004211:Disseminated Intravascular Coagulation / Q000209:etiology*; D009877:Endophthalmitis / Q000382:microbiology*; D005260:Female; D006801:Humans; D007710:Klebsiella Infections / Q000150:complications*; D007711:Klebsiella pneumoniae; D008875:Middle Aged; D010502:Perineum