title: Clinical review of endogenous endophthalmitis in Korea: a 14-year review of culture positive cases of two large hospitals.
abstract: OBJECTIVE
  To identify the clinical features and outcomes of endogenous endophthalmitis in Korea.
  
  
  METHODS
  We reviewed 18 patients with endogenous endophthalmitis at 2 Korean hospitals, treated over a 14 year period between January 1993 and December 2006.
  
  
  RESULTS
  The comorbidities observed in these cases were diabetes mellitus and liver cirrhosis. The most common pathogens, which were found in 7 patients each (38.9%), were Klebsiella pneumonia and Pseudomonas aeruginosa. All patients were treated with systemic antibiotics and fortified topical antibiotics. A surgical approach including vitrectomy was performed in 9 cases (50.0%). The prognosis was generally poor, and visual acuity improved slightly in 6 patients (33.3%).
  
  
  CONCLUSIONS
  In this study, diabetes mellitus and Klebsiella pneumonia showed a close relationship with endogenous endophthalmitis, respectively. Endogenous endophthalmitis is a serious risk to sight and careful attention to establishing the diagnosis and management may decrease the ocular morbidity.
authors.affiliation: Department of Internal Medicine, Yonsei University College of Medicine, 250 Seongsan-ro, Seodaemun-gu, Seoul 120-752, Korea.
authors.forename: Kyu Sik
authors.initials: KS
authors.lastname: Chung
authors.forename: Young Keun
authors.initials: YK
authors.lastname: Kim
authors.forename: Young Goo
authors.initials: YG
authors.lastname: Song
authors.forename: Chang Oh
authors.initials: CO
authors.lastname: Kim
authors.forename: Sang Hoon
authors.initials: SH
authors.lastname: Han
authors.forename: Bum Sik
authors.initials: BS
authors.lastname: Chin
authors.forename: Nam Su
authors.initials: NS
authors.lastname: Gu
authors.forename: Su Jin
authors.initials: SJ
authors.lastname: Jeong
authors.forename: Ji-Hyeon
authors.initials: JH
authors.lastname: Baek
authors.forename: Jun Yong
authors.initials: JY
authors.lastname: Choi
authors.forename: Hyo Youl
authors.initials: HY
authors.lastname: Kim
authors.forename: June Myung
authors.initials: JM
authors.lastname: Kim
mesh_terms: D000368:Aged; D048909:Diabetes Complications / Q000453:epidemiology* / Q000382:microbiology; D009877:Endophthalmitis / Q000150:complications / Q000453:epidemiology* / Q000382:microbiology; D005260:Female; D006801:Humans; D015994:Incidence; D007711:Klebsiella pneumoniae / Q000302:isolation & purification; D008103:Liver Cirrhosis / Q000150:complications* / Q000453:epidemiology / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D056910:Republic of Korea / Q000453:epidemiology; D012189:Retrospective Studies