title: A liver abscess deprived a healthy adult of eyesight: endogenous endophthalmitis associated with a pyogenic liver abscess caused by serotype K1 Klebsiella pneumonia.
abstract: Klebsiella pneumonia usually causes urinary tract infections, pneumonia, and other infectious diseases in hospitalized and immunocompromised patients. Among the types of Klebsiella pneumonia, serotype K1 is known to be a highly virulent pathogen. We herein report the case of a healthy 63-year-old man with a pyogenic liver abscess and bilateral endogenous endophthalmitis caused by serotype K1 Klebsiella pneumonia. Although the patient received percutaneous abscess drainage and antibiotic therapy, he lost his eyesight. To improve the poor prognoses of ocular complications, providing both an earlier diagnosis and treatment is critical.
authors.affiliation: Department of Gastroenterology and Hepatology, Graduate School of Medicine and Faculty of Medicine, Kyoto University, Japan. maru_p@hotmail.co.jp
authors.forename: Takahisa
authors.initials: T
authors.lastname: Maruno
authors.forename: Yoko
authors.initials: Y
authors.lastname: Ooiwa
authors.forename: Ken
authors.initials: K
authors.lastname: Takahashi
authors.forename: Yuzo
authors.initials: Y
authors.lastname: Kodama
authors.forename: Shunji
authors.initials: S
authors.lastname: Takakura
authors.forename: Satoshi
authors.initials: S
authors.lastname: Ichiyama
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Chiba
mesh_terms: D001766:Blindness / Q000097:blood / Q000175:diagnosis / Q000382:microbiology*; D009877:Endophthalmitis / Q000097:blood / Q000175:diagnosis / Q000382:microbiology*; D006801:Humans; D007710:Klebsiella Infections / Q000097:blood / Q000150:complications / Q000382:microbiology*; D007711:Klebsiella pneumoniae / Q000302:isolation & purification*; D046290:Liver Abscess, Pyogenic / Q000097:blood / Q000175:diagnosis / Q000382:microbiology*; D008297:Male; D008875:Middle Aged; D058885:Multilocus Sequence Typing / Q000379:methods