title: Fulminant endogenous Klebsiella pneumoniae endophthalmitis: imaging findings.
abstract: Endogenous endophthalmitis is a rare but serious complication of Klebsiella pneumoniae infection that has been predominantly reported to occur in diabetic patients of East Asian origin with K. pneumoniae liver abscesses. The clinical symptoms and signs of endogenous endophthalmitis are nonspecific and may mimic other causes of an acute non-traumatic eye. Permanent visual loss and blindness are common sequelae because of delayed diagnosis and treatment. Computed tomography and magnetic resonance imaging can help to differentiate endophthalmitis from other causes of acute non-traumatic eye when the clinical findings are equivocal. Fluid attenuated inversion recovery and diffusion-weighted imaging with apparent diffusion coefficient map are superior to T2-weighted and gadolinium-enhanced T1-weighted sequences in demonstrating intra-ocular abscesses.
authors.affiliation: Department of Medical Imaging, St. Vincent's Hospital, University of Melbourne, Victoria Parade, Fitzroy, Victoria 3065, Australia. leewk33@hotmail.com
authors.forename: Melanie
authors.initials: M
authors.lastname: Seale
authors.forename: Wai-Kit
authors.initials: WK
authors.lastname: Lee
authors.forename: John
authors.initials: J
authors.lastname: Daffy
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Tan
authors.forename: Nicholas
authors.initials: N
authors.lastname: Trost
mesh_terms: D001766:Blindness / Q000382:microbiology; D003937:Diagnosis, Differential; D009877:Endophthalmitis / Q000175:diagnosis* / Q000382:microbiology; D005260:Female; D006801:Humans; D007710:Klebsiella Infections / Q000150:complications*; D007711:Klebsiella pneumoniae; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D014057:Tomography, X-Ray Computed