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Endogenous endophthalmitis associated with liver abscess caused by Klebsiella pneumoniae

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Abstract

To report two unusual cases of endogenous endophthalmitis associated with liver abscess caused by Klebsiella pneumoniae. Retrospective, interventional case series. Two patients, known to have type II diabetes mellitus, presented with sudden visual loss following several days of abdominal pain. Examinations and investigations revealed endogenous endophthalmitis caused by K. pneumoniae. Despite treatment in the form of intravitreal injection of antibiotics in the first patient and pars plana vitrectomy coupled with intravitreal injection of antibiotics in the second patient the final visual outcome was poor in both cases. The possibility of K. pneumoniae endogenous endophthalmitis should be suspected in diabetic patients presenting with intraocular inflammation.

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References

  1. Wang JH, Liu YC, Lee SS et al (1998) Primary liver abscess due to Klebsiella pneumoniae in Taiwan. Clin Infect Dis 26:1434–1438

    Article  PubMed  CAS  Google Scholar 

  2. Yang CS, Tsai HY, Sung CS, Lin KH, Lee FL, Hsu WM (2007) Endogenous Klebsiella endophthalmitis associated with pyogenic liver abscess. Ophthalmology 114:876–880

    Article  PubMed  Google Scholar 

  3. Margo CE, Mames RN, Guy JR (1994) Endogenous Klebsiella endophthalmitis. Report of two cases and review of the literature. Ophthalmology 101:1298–1301

    PubMed  CAS  Google Scholar 

  4. Yoon YH, Lee SU, Sohn JH, Lee SE (2003) Result of early vitrectomy for endogenous Klebsiella pneumoniae endophthalmitis. Retina 23:366–370

    Article  PubMed  Google Scholar 

  5. Cahill M, Chang B, Murray A (2000) Bilateral endogenous bacterial endophthalmitis associated with pyogenic hepatic abscess. Br J Ophthalmol 84:1436

    Article  PubMed  CAS  Google Scholar 

  6. Chen YJ, Kuo HK, Wu PC, Kuo ML, Tsai HH, Liu CC, Chen CH (2004) A 10-year comparison of endogenous endophthalmitis outcomes: an east Asian experience with Klebsiella pneumoniae infection. Retina 24:383–390

    Article  PubMed  Google Scholar 

  7. Matsushita M, Hajiro K, Okazaki K, Takakuwa H, Nishio A (2000) Endophthalmitis with brain, lung, and liver abscesses associated with an occult colon cancer. Am J Gastroenterol 95:3664–3665

    Article  PubMed  CAS  Google Scholar 

  8. Chuang LH, Song HS, Lee SC, Lai CC, Ku WC (2000) Endogenous Klebsiella pneumoniae endophthalmitis associated with prostate abscess: case report. Chang Gung Med J 23:240–245

    PubMed  CAS  Google Scholar 

  9. Lee CC, Chen CY, Chen FH, Zimmerman RA, Hsiao HS (1998) Septic metastatic endophthalmitis from Klebsiella pneumoniae liver abscess: CT and MR imaging characteristics—report of three cases. Radiology 207:411–416

    PubMed  CAS  Google Scholar 

  10. Sheu SJ, Chou LC, Hong MC, Hsiao YC, Liu YC (2002) Risk factors for endogenous endophthalmitis secondary to Klebsiella pneumoniae liver abscess. Zhonghua Yi Xue Za Zhi (Taipei) 65:534–539

    Google Scholar 

  11. Lin JC, Siu LK, Fung CP, Tsou HH, Wang JJ, Chen CT, Wang SC, Chang FY (2006) Impaired phagocytosis of capsular serotypes K1 or K2 Klebsiella pneumoniae in type 2 diabetes mellitus patients with poor glycemic control. J Clin Endocrinol Metab 91:3084–3087

    Article  PubMed  CAS  Google Scholar 

  12. Lin JC, Chang FY, Fung CP, Xu JZ, Cheng HP, Wang JJ, Huang LY, Siu LK (2004) High prevalence of phagocytic-resistant capsular serotypes of Klebsiella pneumoniae in liver abscess. Microbes Infect 6:1191–1198

    Article  PubMed  CAS  Google Scholar 

  13. Dohmen K, Okubo H, Okabe H, Ishibashi H (2003) Endophthalmitis with Klebsiella pneumoniae liver abscess. Fukuoka Igaku Zasshi 94:31–36

    PubMed  Google Scholar 

  14. Tan YM, Chee SP, Soo KC, Chow P (2004) Ocular manifestations and complications of pyogenic liver abscess. World J Surg 28:38–42

    Article  PubMed  Google Scholar 

  15. Liao HR, Lee HW, Leu HS, Lin BJ, Juang CJ (1992) Endogenous Klebsiella pneumoniae endophthalmitis in diabetic patients. Can J Ophthalmol 27:143–147

    PubMed  CAS  Google Scholar 

  16. Chou FF, Kou HK (1996) Endogenous endophthalmitis associated with pyogenic hepatic abscess. J Am Coll Surg 182:33–36

    PubMed  CAS  Google Scholar 

  17. Wong JS, Chan TK, Lee HM, Chee SP (2000) Endogenous bacterial endophthalmitis: an east Asian experience and a reappraisal of a severe ocular affliction. Ophthalmology 107:1483–1491

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Ahmed M. Abu El-Asrar.

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Al-Mahmood, A.M., Al-Binali, G.Y., AlKatan, H. et al. Endogenous endophthalmitis associated with liver abscess caused by Klebsiella pneumoniae . Int Ophthalmol 31, 145–148 (2011). https://doi.org/10.1007/s10792-011-9429-9

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  • DOI: https://doi.org/10.1007/s10792-011-9429-9

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