A Case of Endogenous endophthalmitis Caused by Klebsiella Pneumoniae from Emphysematous Pyelonephritis.
- Author:
Tschang Seog OH
1
;
Young AHN
;
Sung Dong CHANG
;
Yong Kil LEE
Author Information
1. Department of Ophthalmology, College of Medicine, Dongguk University, Korea. duke94@netsgo.com
- Publication Type:Case Report
- Keywords:
emphysematous pyelonephritis;
Klebsiella endogenous endophthalmitis
- MeSH:
Anti-Bacterial Agents;
Diabetes Mellitus;
Endophthalmitis*;
Female;
Humans;
Klebsiella pneumoniae*;
Klebsiella*;
Liver Abscess, Pyogenic;
Pyelonephritis*;
Urinary Tract Infections;
Vitrectomy
- From:Journal of the Korean Ophthalmological Society
2002;43(7):1330-1334
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of Klebsiella pneumoniae endogenous endophthalmitis secondary to renal or urinary tract infection such as emphysematous pyelonephritis. METHODS: A-56-year-old woman with diabetes mellitus and emphysematous pyelonephritis was reterred to us in consultation for visual loss in her right eye for 5 days. Ophthalmologic evaluation and intervention were performed. RESULTS: Culture revealed Klebsiella pneumoniae from vitreous tap of the right eye. Systemic antibiotics, intravitreous antibiotics injection and vitrectomy were performed, but the eye showed progressive worsening to phthisis. CONCLUSIONS: A high index of suspicion of Klebsiella pneumoniae endogenous endophthalmitis must be carried in patients with renal or urinary tract infection such as emphysematous pyelonephritis as well as hepatobiliary disease such as pyogenic liver abscess.
