A Case of Endogenous Klebsiella Endophthalmitis Associated with Acute Pyelonephritis in a Patient with Chronic Renal Failure.
- Author:
In Hee LEE
1
;
Tae Won KIM
;
Gun Woo KANG
;
Young Chan PARK
;
Keun Hae KIM
;
Yun Young KIM
Author Information
1. Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea. ihlee@cu.ac.kr
- Publication Type:Case Report
- Keywords:
Endophthalmitis;
Pyelonephritis;
Kidney failure;
chronic
- MeSH:
Aged;
Anti-Bacterial Agents;
Diabetes Mellitus;
Endophthalmitis;
Eye;
Female;
Fever;
Humans;
Inflammation;
Kidney Failure, Chronic;
Klebsiella;
Klebsiella pneumoniae;
Nausea;
Pneumonia;
Prognosis;
Pyelonephritis;
Renal Dialysis;
Renal Insufficiency;
Sepsis;
Vision, Ocular;
Vitrectomy
- From:Korean Journal of Nephrology
2009;28(3):253-258
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Endogenous endophthalmitis is any inflammation of the internal ocular space that usually has a poor prognosis for visual recovery, and is a rare complication of Klebsiella pneumoniae septicemia. We report here a case of endogenous endophthalmitis due to K. pneumoniae in a patient with acute pyelonephritis and chronic renal failure who did not have any history of diabetes mellitus. A 75-year-old woman was admitted to our hospital, complaining of severe pain and decreased vision in the right eye, accompanied by fever and nausea, of 48 hours' duration. Ophthalmologic evaluation and intervention were performed. Blood, urine and vitreous cultures were all positive for K. pneumoniae. She was treated with intravenous antibiotics, intravitreal antibiotics injection and pars plana vitrectomy. However, her right eye showed progressive worsening to enucleation, and she has been on maintenance hemodialysis ever since.
