Klebsiella pneumoniae orbital cellulitis with extensive vascular occlusions in a patient with type 2 diabetes.
A 39-year-old woman visited the emergency room complaining of right eye pain and swelling over the preceding three days. The ophthalmologist's examination revealed orbital cellulitis and diabetic retinopathy in the right eye, although the patient had no prior diagnosis of diabetes. It was therefore suspected that she had diabetes and orbital cellulitis, and she was started on multiple antibiotic therapies initially. She then underwent computed tomography scans of the orbit and neck and magnetic resonance imaging of the brain. These studies showed an aggravated orbital cellulitis with abscess formation, associated with venous thrombophlebitis, thrombosis of the internal carotid artery, and mucosal thickening of maxillary sinus with multiple paranasal abscesses. Three days later, initial blood culture grew Klebsiella pneumoniae. She recovered after incision and drainage and antibiotic therapy for 37 days.
Yang
Sae Jeong
SJ
Department of Internal Medicine, Korea University Anam Hospital, Korea University School of Medicine, Seoul, Korea.
Park
Soo Yeon
SY
Lee
Yun Jeong
YJ
Kim
Hee Young
HY
Seo
Ji A
JA
Kim
Sin Gon
SG
Choi
Dong Seop
DS
D000328:Adult; D000792:Angiography; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D003925:Diabetic Angiopathies / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007710:Klebsiella Infections / Q000150:complications* / Q000000981:diagnostic imaging; D007711:Klebsiella pneumoniae; D054517:Orbital Cellulitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000382:microbiology; D014057:Tomography, X-Ray Computed