Korean J Nephrol.
2007 Sep;26(5):625-629.
A Case of Endogenous Endophthalmitis and Multifocal Pneumonia Complicated by Renal Abscess and Sepsis due to Escherichia coli
- Affiliations
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- 1Department of Internal Medicine, The Catholic University of Korea, Seoul, Korea. dr52916@catholic.ac.kr
- 2Department of Ophthalmology, The Catholic University of Korea, Seoul, Korea.
Abstract
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Metastatic or septic endogenous endophthalmitis is a rare, but devastating complication of systemic septicemia. This condition may become more common as the number of chronically debilitated patients and the use of invasive procedures increase. Many etiologic organisms (gram-positive, gram-negative and fungi) and many clinical conditions (pyelonephritis, endocarditis, meningitis, pneumonia) have been reported to cause endogenous endophthalmitis. Risk factors include most of the known reasons for immune suppression and chronic illness. A high clinical suspicion is required in early diagnosis and treatment. Early antibiotics and vitrectomy are more widely accepted as therapeutic modalities.