Endogenous endophthalmitis associated with liver abscess caused by Klebsiella pneumoniae.
To report two unusual cases of endogenous endophthalmitis associated with liver abscess caused by Klebsiella pneumoniae. Retrospective, interventional case series. Two patients, known to have type II diabetes mellitus, presented with sudden visual loss following several days of abdominal pain. Examinations and investigations revealed endogenous endophthalmitis caused by K. pneumoniae. Despite treatment in the form of intravitreal injection of antibiotics in the first patient and pars plana vitrectomy coupled with intravitreal injection of antibiotics in the second patient the final visual outcome was poor in both cases. The possibility of K. pneumoniae endogenous endophthalmitis should be suspected in diabetic patients presenting with intraocular inflammation.
Department of Ophthalmology, King Abdulaziz University Hospital, King Saud University, Riyadh, 11411, Kingdom of Saudi Arabia.
Ammar M
AM
Al-Mahmood
Ghada Y
GY
Al-Binali
Hind
H
Alkatan
Emad B
EB
Abboud
Ahmed M
AM
Abu El-Asrar
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D048909:Diabetes Complications; D003924:Diabetes Mellitus, Type 2; D009877:Endophthalmitis / Q000382:microbiology*; D005128:Eye Diseases / Q000000981:diagnostic imaging / Q000382:microbiology; D005260:Female; D006801:Humans; D058449:Intravitreal Injections; D007710:Klebsiella Infections / Q000188:drug therapy / Q000473:pathology; D007711:Klebsiella pneumoniae; D008100:Liver Abscess / Q000382:microbiology*; D008297:Male; D014463:Ultrasonography; D014786:Vision Disorders / Q000209:etiology / Q000601:surgery; D014821:Vitrectomy; D014822:Vitreous Body
D000900:Anti-Bacterial Agents
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