Clinical Review of Endogenous Endophthalmitis in Korea: A 14-Year Review of Culture Positive Cases of Two Large Hospitals.
10.3349/ymj.2011.52.4.630
- Author:
Kyu Sik CHUNG
1
;
Young Keun KIM
;
Young Goo SONG
;
Chang Oh KIM
;
Sang Hoon HAN
;
Bum Sik CHIN
;
Nam Su GU
;
Su Jin JEONG
;
Ji Hyeon BAEK
;
Jun Yong CHOI
;
Hyo Youl KIM
;
June Myung KIM
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Endophthalmitis;
Klebsiella pneumonia;
Pseudomonas aeruginosa;
liver abscess;
diabetes mellitus
- MeSH:
Aged;
Diabetes Complications/*epidemiology/microbiology;
Endophthalmitis/complications/*epidemiology/microbiology;
Female;
Humans;
Incidence;
Klebsiella pneumoniae/isolation & purification;
Liver Cirrhosis/*complications/epidemiology/microbiology;
Male;
Middle Aged;
Pseudomonas aeruginosa/isolation & purification;
Republic of Korea/epidemiology;
Retrospective Studies
- From:Yonsei Medical Journal
2011;52(4):630-634
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To identify the clinical features and outcomes of endogenous endophthalmitis in Korea. MATERIALS AND METHODS: We reviewed 18 patients with endogenous endophthalmitis at 2 Korean hospitals, treated over a 14 year period between January 1993 and December 2006. RESULTS: The comorbidities observed in these cases were diabetes mellitus and liver cirrhosis. The most common pathogens, which were found in 7 patients each (38.9%), were Klebsiella pneumonia and Pseudomonas aeruginosa. All patients were treated with systemic antibiotics and fortified topical antibiotics. A surgical approach including vitrectomy was performed in 9 cases (50.0%). The prognosis was generally poor, and visual acuity improved slightly in 6 patients (33.3%). CONCLUSION: In this study, diabetes mellitus and Klebsiella pneumonia showed a close relationship with endogenous endophthalmitis, respectively. Endogenous endophthalmitis is a serious risk to sight and careful attention to establishing the diagnosis and management may decrease the ocular morbidity.
