Klebsiella pneumoniae Liver Abscess Associated With Septic Endophthalmitis

Yung Ching Liu, Deh Lin Cheng, Chia Lee Lin

Research output: Contribution to journalArticlepeer-review

220 Citations (Scopus)

Abstract

• Metastatic septic bacterial endophthalmitis is a rare, but devastating disease. We encountered seven cases of pyogenic liver abscess associated with septic endophthalmitis during a recent four-year period. The causative organism was a pure culture of Klebsiella pneumoniae. The diagnosis was made by results of a blood culture in seven of the cases, liver aspirate culture in four, and eye contents or conjunctival culture in four. Chest roentgenographic examination showed pulmonary embolization in four patients, purulent meningitis in one patient, and suspicious prostatic abscess in one patient. Despite diligent antibiotic therapy, six patients lost their vision and one had impaired vision. This poor outcome for septic endophthalmitis seems to result from delayed diagnosis and lack of scheduled periocular injections of antibiotics. A combination course of treatment by the internist and ophthalmologist acting aggressively, both diagnostically and therapeutically, is needed in the future. To have seven cases of K pneumoniae liver abscess complicated by septic endophthalmitis during a period of four years in one hospital is very unusual. To our knowledge, it has never been reported in the literature.

Original languageEnglish
Pages (from-to)1913-1916
Number of pages4
JournalArchives of Internal Medicine
Volume146
Issue number10
DOIs
Publication statusPublished - 1986
Externally publishedYes

ASJC Scopus subject areas

  • Internal Medicine

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