Endogenous endophthalmitis complicating Klebsiella pneumoniae liver abscess in Europe: case report.
OBJECTIVE
To report the first European case of endogenous endophthalmitis secondary to a liver abscess due to Klebsiella pneumoniae expressing MagA gene.


METHODS
A 33-year-old diabetic patient was admitted for fever and right upper quadrant abdominal pain. Abdominal computed tomography and laboratory studies were performed. On day 4 after admission, patient complained of a painful and red right eye with decreased vision. A complete ophthalmological examination, including visual acuity assessment, slit lamp examination and fundus ophthalmoscopy was started.


RESULTS
Klebsiella pneumoniae liver abscess was diagnosed and antibiotherapy initiated. Polymerase chain reaction revealed that the isolated Klebsiella pneumoniae was serotype K1 and positive for Mag A. Ophthalmological examination disclosed cells in the anterior chamber and an important vitritis. Fundus was barely visible. A diagnosis of Klebsiella pneumoniae endogenous endophthalmitis complicating liver abscess was made. Intravitreal injection of antibiotics resulted in a preservation of visual acuity.


CONCLUSIONS
This report suggests that rather than being confined to Taiwan, endogenous endophthalmitis secondary to a liver abscess due to Klebsiella pneumoniae expressing MagA gene, is becoming a global problem.
Department of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, Rue Haute 322, 1000 Bruxelles, Belgium.
Edison Mutsinzi
EM
Karama
François
F
Willermain
Xavier
X
Janssens
Marc
M
Claus
Sigi
S
Van den Wijngaert
Jim-Town
JT
Wang
Claire
C
Verougstraete
Laure
L
Caspers
D000328:Adult; D003922:Diabetes Mellitus, Type 1 / Q000382:microbiology; D009877:Endophthalmitis / Q000175:diagnosis / Q000209:etiology / Q000382:microbiology*; D006801:Humans; D007710:Klebsiella Infections / Q000175:diagnosis; D007711:Klebsiella pneumoniae; D008100:Liver Abscess / Q000150:complications* / Q000382:microbiology; D008297:Male