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Septic metastatic endophthalmitis complicating Klebsiella pneumoniae liver abscess in a non-diabetic Chinese man.
Wong, T Y; Chiu, S I; So, M K; Tsang, M K; Lai, S T; Tse, K K; Io, I Y.
Afiliación
  • Wong TY; Department of Medicine and Geriatrics, Princess Margaret Hospital, Laichikok, Kowloon, Hong Kong.
Hong Kong Med J ; 7(3): 303-6, 2001 Sep.
Article en En | MEDLINE | ID: mdl-11590274
Septic metastatic endophthalmitis is a rare but serious disease. Endophthalmitis arising from Klebsiella pneumoniae liver abscess has been reported with diabetes mellitus as a major associated condition, but is rarely seen in patients without diabetes. A non-diabetic patient with liver abscess complained of right eye discomfort and floaters 3 days after admission. Both blood and liver aspirate cultured Klebsiella pneumoniae. The patient was treated initially with systemic and subconjunctival antibiotics followed by intravitreal antibiotics with successful visual salvation. Previous reports from the literature showed poor visual outcome despite treatment and delayed recognition was often the cause. Clinicians should be alert to endophthalmitis whenever a patient with Klebsiella pneumoniae liver abscess complains of ocular symptoms. Urgent ophthalmological assessment should be sought.
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Base de datos: MEDLINE Asunto principal: Endoftalmitis / Klebsiella pneumoniae / Absceso Hepático Límite: Humans / Male / Middle aged Idioma: En Revista: Hong Kong Med J Asunto de la revista: MEDICINA Año: 2001 Tipo del documento: Article País de afiliación: Hong Kong
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Base de datos: MEDLINE Asunto principal: Endoftalmitis / Klebsiella pneumoniae / Absceso Hepático Límite: Humans / Male / Middle aged Idioma: En Revista: Hong Kong Med J Asunto de la revista: MEDICINA Año: 2001 Tipo del documento: Article País de afiliación: Hong Kong