title: Endogenous Klebsiella endophthalmitis associated with liver abscess: first case report from iran.
abstract: OBJECTIVE
  To report the first case of endogenous Klebsiella endophthalmitis associated with liver abscess in Iran.
  
  
  METHODS
  A 79-year-old man was referred to our hospital due to severe pain and visual loss in the left eye. On physical examination, conjunctival hyperemia, corneal edema, hypopyon and severe vitreous cellular reaction were identified in the left eye; however, yellowish conjunctival discoloration was more apparent in the right eye. Abdominal CT scan showed a right liver lobe abscess that was confirmed by sonographically guided percutaneous liver mass biopsy. Blood, vitreous and liver mass aspirate cultures revealed Klebsiella pneumoniae growth. The patient was thus diagnosed with endogenous Klebsiella endophthalmitis secondary to bacteremia associated with liver abscess.
  
  
  CONCLUSIONS
  This report suggests that, rather than being confined to Taiwan, endogenous endophthalmitis secondary to a liver abscess due to K. pneumoniae may be a global problem. Therefore, physicians should be aware of the possibility of endophthalmitis whenever a patient with K. pneumoniae liver abscess complains of ocular symptoms.
authors.affiliation: Ophthalmology Ward, Feiz Hospital, University of Medical Science, Isfahan, Iran.
authors.forename: A R
authors.initials: AR
authors.lastname: Dehghani
authors.forename: A
authors.initials: A
authors.lastname: Masjedi
authors.forename: F
authors.initials: F
authors.lastname: Fazel
authors.forename: H
authors.initials: H
authors.lastname: Ghanbari
authors.forename: M
authors.initials: M
authors.lastname: Akhlaghi
authors.forename: N
authors.initials: N
authors.lastname: Karbasi