Korean J Med.  2005 Feb;68(2):233-237.

Septic metastatic bilateral endophthalmitis complicating Klebsiella pneumoniae liver abscess in a non-diabetic woman

• Kim YS
• Gang YS
• Jung JH
• Park KO
• Kim SM
• Lee BS
• Lee HY

Abstract

Metastatic septic bacterial endophthalmitis is a rare but potentially devastating, serious disease. Endophthalmitis arising from Klebsiella pneumoniae liver abscess has been reported with diabetes mellitus as a major associated condition in Taiwan, but is rarely seen in patients without diabetes. There is often a delay in diagnosing endogenous bacterial endophthalmitis, particularly when there is no evidence of a primary infection or ocular infection is initial manifestation of sepsis. We report a non-diabetic patient with sepsis with right eye discomfort. Five days after admission, blood culture grew K. pneumoniae. Abdomen computerized tomography scan confirmed the presence of multiloculated liver abscess in right lobe. Despite intensive treatment, systemic and intravitreal antibiotics, liver abscess was resolved completely, but visual outcome was very poor. Physicians should be alerted to endogenous endophthalmitis in patients with Klebsiella septicemia, especially in diabetics with pyogenic liver abscess complains of ocular symptoms.

Keyword

Klebsiella pneumoniae; Liver abscess; Endophthalmitis

MeSH Terms

Abdomen
Anti-Bacterial Agents
Diabetes Mellitus
Endophthalmitis*
Eye Infections
Female
Humans
Klebsiella pneumoniae*
Klebsiella*
Liver Abscess*
Liver Abscess, Pyogenic
Liver*
Pneumonia
Sepsis
Taiwan
Anti-Bacterial Agents