1.Clinical Review of Endogenous Endophthalmitis in Korea: A 14-Year Review of Culture Positive Cases of Two Large Hospitals.
Kyu Sik CHUNG ; 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
Yonsei Medical Journal 2011;52(4):630-634
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.
Aged
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Diabetes Complications/*epidemiology/microbiology
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Endophthalmitis/complications/*epidemiology/microbiology
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Female
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Humans
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Incidence
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Klebsiella pneumoniae/isolation & purification
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Liver Cirrhosis/*complications/epidemiology/microbiology
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Male
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Middle Aged
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Pseudomonas aeruginosa/isolation & purification
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Republic of Korea/epidemiology
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Retrospective Studies