Korean J Gastroenterol.
2001 Aug;38(2):120-123.
A Case of Pyogenic Liver Abscess Complicated with Endophthalmitis
Abstract
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Pyogenic liver abscess is a serious clinical disease with severe complications in 10-20% of the cases. Metastatic septic endophthalmitis is a rare complication associated with liver abscess. Despite appropriate treatment, the outcome is devastating. We experienced a case of pyogenic liver abscess complicated with endophthalmitis. The bacterial organism cultured from liver abscess was Klebsiella pneumoniae. Treatment of this patient was composed of percutaneous drainage under ultrasonographic guidance, systemic and intravitreal antibiotic therapy. After treatment for 6 weeks, the liver abscess was resolved completely, but the visual outcome was very poor despite intensive treatment. We report a case of pyogenic liver abscess complicated with endophthalmitis.