Klebsiella pneumoniae Liver Abscess Associated With Septic Endophthalmitis

Yung Ching Liu, Deh Lin Cheng, Chia Lee Lin

研究成果: 雜誌貢獻文章同行評審

244 引文 斯高帕斯(Scopus)

摘要

• 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.

原文英語
頁(從 - 到)1913-1916
頁數4
期刊Archives of Internal Medicine
146
發行號10
DOIs
出版狀態已發佈 - 1986
對外發佈

ASJC Scopus subject areas

  • 內科學

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