[A case of septic pulmonary embolism with endogenous endophthalmitis in a healthy adult].
A 56-year-old man with chief complaints of reduced visual acuity in the left eye and an 8-day history of pyrexia was diagnosed with uveitis at a nearby hospital, and was referred and admitted to our hospital. Two days after admission, he complained of dyspnea. Chest X-ray revealed an infiltrative shadow in the right middle pulmonary field and right pleural effusion. Chest CT revealed multiple peripheral nodules and a wedge-shaped shadow with a cavity and feeding vessel. Klebsiella pneumoniae was isolated from the blood, and he was diagnosed with septic pulmonary embolism. In addition, ciliary injection and hypopyon of the right eye were recognized, and he was therefore diagnosed with endogenous endophthalmitis due to sepsis. With antibacterial therapy, the symptoms, imaging findings, and inflammatory reaction inproved, but visual acuity did not. This was a rare case of septic pulmonary embolism accompanied by endogenous endophthalmitis.
Department of Respiratory Medicine, Dokkyo Medical University Koshigaya Hospital.
Keiichi
K
Akasaka
Shingo
S
Tokita
Akemi
A
Koyama
Gaku
G
Ikegami
Kenya
K
Koyama
Hiroki
H
Fujihara
Toshio
T
Ichiwata
Koshu
K
Nagao
D009877:Endophthalmitis / Q000209:etiology*; D006801:Humans; D007710:Klebsiella Infections / Q000150:complications*; D007711:Klebsiella pneumoniae; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000209:etiology; D018805:Sepsis / Q000150:complications*