Risk factors for endogenous endophthalmitis secondary to Klebsiella pneumoniae liver abscess

Shwu Jiuan Sheu, Li Chen Chou, May Ching Hong, Ya Chuan Hsiao, Yung Ching Liu

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background. To identify the risk factors for endogenous endophthalmitis secondary to Klebsiella pneumniae (KP) liver abscess. Methods. Retrospective chart review of 200 patients with KP liver abscess from 1990 to 2000 was performed. Data variables included age, sex, past history, systemic condition, initial and final visual acuity, slit lamp biomicroscopy, intraocular pressure, fundus, course and treatment. Results. Extrahepatic metastasis developed in 44 patients, including 18 cases (23 eyes) of endophthalmitis. Seventeen eyes had final vision less than counting fingers. Diabetes had significant association with the development of extrahepatic metastasis (p = 0.045) and the poor visual outcome of endophthalmitis (p = 0.022), whereas, neither the initial vision nor vitrectomy was significantly related to the outcome of endophthalmitis. Conclusions. The visual prognosis of endogenous endophthalmitis secondary to KP liver abscess is generally poor, and diabetes might be a significant risk factor for the poor visual outcome. Even when the initial vision is as bad as light perception only, some eyes can be saved. Both internists and ophthalmologists should be alert enough to detect and treat these patients early.

Original languageEnglish
Pages (from-to)534-539
Number of pages6
JournalChinese Medical Journal (Taipei)
Volume65
Issue number11
Publication statusPublished - Nov 1 2002
Externally publishedYes

Fingerprint

Liver Abscess
Endophthalmitis
Klebsiella pneumoniae
Klebsiella
Neoplasm Metastasis
Vitrectomy
Intraocular Pressure
Fingers
Visual Acuity
Light

Keywords

  • Endogenous
  • Endophthalmitis
  • Klebsiella pneumoniae
  • Liver abscess

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Risk factors for endogenous endophthalmitis secondary to Klebsiella pneumoniae liver abscess. / Sheu, Shwu Jiuan; Chou, Li Chen; Hong, May Ching; Hsiao, Ya Chuan; Liu, Yung Ching.

In: Chinese Medical Journal (Taipei), Vol. 65, No. 11, 01.11.2002, p. 534-539.

Research output: Contribution to journalArticle

Sheu, Shwu Jiuan ; Chou, Li Chen ; Hong, May Ching ; Hsiao, Ya Chuan ; Liu, Yung Ching. / Risk factors for endogenous endophthalmitis secondary to Klebsiella pneumoniae liver abscess. In: Chinese Medical Journal (Taipei). 2002 ; Vol. 65, No. 11. pp. 534-539.
@article{a66502d51bc341a3abe082e6759c2a58,
title = "Risk factors for endogenous endophthalmitis secondary to Klebsiella pneumoniae liver abscess",
abstract = "Background. To identify the risk factors for endogenous endophthalmitis secondary to Klebsiella pneumniae (KP) liver abscess. Methods. Retrospective chart review of 200 patients with KP liver abscess from 1990 to 2000 was performed. Data variables included age, sex, past history, systemic condition, initial and final visual acuity, slit lamp biomicroscopy, intraocular pressure, fundus, course and treatment. Results. Extrahepatic metastasis developed in 44 patients, including 18 cases (23 eyes) of endophthalmitis. Seventeen eyes had final vision less than counting fingers. Diabetes had significant association with the development of extrahepatic metastasis (p = 0.045) and the poor visual outcome of endophthalmitis (p = 0.022), whereas, neither the initial vision nor vitrectomy was significantly related to the outcome of endophthalmitis. Conclusions. The visual prognosis of endogenous endophthalmitis secondary to KP liver abscess is generally poor, and diabetes might be a significant risk factor for the poor visual outcome. Even when the initial vision is as bad as light perception only, some eyes can be saved. Both internists and ophthalmologists should be alert enough to detect and treat these patients early.",
keywords = "Endogenous, Endophthalmitis, Klebsiella pneumoniae, Liver abscess",
author = "Sheu, {Shwu Jiuan} and Chou, {Li Chen} and Hong, {May Ching} and Hsiao, {Ya Chuan} and Liu, {Yung Ching}",
year = "2002",
month = "11",
day = "1",
language = "English",
volume = "65",
pages = "534--539",
journal = "Journal of the Chinese Medical Association",
issn = "1726-4901",
publisher = "Elsevier Taiwan LLC",
number = "11",

}

TY - JOUR

T1 - Risk factors for endogenous endophthalmitis secondary to Klebsiella pneumoniae liver abscess

AU - Sheu, Shwu Jiuan

AU - Chou, Li Chen

AU - Hong, May Ching

AU - Hsiao, Ya Chuan

AU - Liu, Yung Ching

PY - 2002/11/1

Y1 - 2002/11/1

N2 - Background. To identify the risk factors for endogenous endophthalmitis secondary to Klebsiella pneumniae (KP) liver abscess. Methods. Retrospective chart review of 200 patients with KP liver abscess from 1990 to 2000 was performed. Data variables included age, sex, past history, systemic condition, initial and final visual acuity, slit lamp biomicroscopy, intraocular pressure, fundus, course and treatment. Results. Extrahepatic metastasis developed in 44 patients, including 18 cases (23 eyes) of endophthalmitis. Seventeen eyes had final vision less than counting fingers. Diabetes had significant association with the development of extrahepatic metastasis (p = 0.045) and the poor visual outcome of endophthalmitis (p = 0.022), whereas, neither the initial vision nor vitrectomy was significantly related to the outcome of endophthalmitis. Conclusions. The visual prognosis of endogenous endophthalmitis secondary to KP liver abscess is generally poor, and diabetes might be a significant risk factor for the poor visual outcome. Even when the initial vision is as bad as light perception only, some eyes can be saved. Both internists and ophthalmologists should be alert enough to detect and treat these patients early.

AB - Background. To identify the risk factors for endogenous endophthalmitis secondary to Klebsiella pneumniae (KP) liver abscess. Methods. Retrospective chart review of 200 patients with KP liver abscess from 1990 to 2000 was performed. Data variables included age, sex, past history, systemic condition, initial and final visual acuity, slit lamp biomicroscopy, intraocular pressure, fundus, course and treatment. Results. Extrahepatic metastasis developed in 44 patients, including 18 cases (23 eyes) of endophthalmitis. Seventeen eyes had final vision less than counting fingers. Diabetes had significant association with the development of extrahepatic metastasis (p = 0.045) and the poor visual outcome of endophthalmitis (p = 0.022), whereas, neither the initial vision nor vitrectomy was significantly related to the outcome of endophthalmitis. Conclusions. The visual prognosis of endogenous endophthalmitis secondary to KP liver abscess is generally poor, and diabetes might be a significant risk factor for the poor visual outcome. Even when the initial vision is as bad as light perception only, some eyes can be saved. Both internists and ophthalmologists should be alert enough to detect and treat these patients early.

KW - Endogenous

KW - Endophthalmitis

KW - Klebsiella pneumoniae

KW - Liver abscess

UR - http://www.scopus.com/inward/record.url?scp=0036875012&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036875012&partnerID=8YFLogxK

M3 - Article

VL - 65

SP - 534

EP - 539

JO - Journal of the Chinese Medical Association

JF - Journal of the Chinese Medical Association

SN - 1726-4901

IS - 11

ER -