title: [Endogenous endophthalmitis as a first clinical manifestation of Klebsiella sepsis. The importance of an early diagnosis].
abstract: METHODS
  A diabetic patient who developed a unilateral uveitis with a chorioretinitis patch in his right eye associated with decreased visual acuity and fever. Endogenous endophthalmitis was suspected and complementary tests were performed, finding hepatic abscesses with Klebsiella isolation in the biopsy. The ocular disorder slowly improved with intravenous therapy and guided percutaneous liver drainage.
  
  
  CONCLUSIONS
  Endogenous Klebsiella endophthalmitis is an uncommon condition with severe complications. An early diagnosis and aggressive antibiotic therapy can ameliorate the final course but the visual outcome still remains poor.
authors: Departamento de Uveítis, Servicio de Oftalmología, Hospital Regional Carlos Haya, Málaga, España. apbit@hotmail.com
authors: A P
authors: AP
authors: Batres Iglesias
authors: M I
authors: MI
authors: Pérez Cabeza
authors: M J
authors: MJ
authors: Del Río Pardo
authors: M
authors: M
authors: Castaño
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D002825:Chorioretinitis / Q000209:etiology / Q000382:microbiology; D002832:Choroid Hemorrhage / Q000209:etiology; D002939:Ciprofloxacin / Q000627:therapeutic use; D003131:Combined Modality Therapy; D048909:Diabetes Complications; D004322:Drainage; D042241:Early Diagnosis; D009877:Endophthalmitis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D006801:Humans; D007710:Klebsiella Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D007711:Klebsiella pneumoniae / Q000302:isolation & purification*; D008100:Liver Abscess / Q000209:etiology / Q000382:microbiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012166:Retinal Hemorrhage / Q000209:etiology; D015866:Uveitis, Posterior / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D014786:Vision Disorders / Q000209:etiology
chemical_list: D000900:Anti-Bacterial Agents; D002939:Ciprofloxacin