scholarly journals Endogenous Endophthalmitis and Liver Abscess: A Metastatic Infection or a Coincidence?

2021 ◽  
pp. 1-6
Author(s):  
Catarina Correia ◽  
Sandra Lopes ◽  
Sofia Mendes ◽  
Nuno Almeida ◽  
Pedro Figueiredo
Keyword(s):  
Liver Abscess ◽  
Signs And Symptoms ◽  
Pyogenic Liver Abscess ◽  
Endogenous Endophthalmitis ◽  
Metastatic Infection ◽  
Percutaneous Transhepatic Drainage ◽  
Severe Infections ◽  
Transhepatic Drainage ◽  
Systemic Antibiotics ◽  
Ocular Signs

<i>Klebsiella pneumoniae</i> is a gram-negative pathogen that is a common cause of severe infections, including pyogenic liver abscess. Dissemination of <i>K. pneumoniae</i> to other organs, including the eye, is associated with significant morbidity and mortality. In the particular case of endogenous endophthalmitis (EE) by <i>K. pneumoniae</i> the prognosis is poor. We report the case of a middle-aged female with <i>K. pneumoniae</i> liver abscess. The patient developed metastatic endophthalmitis that was aggressively treated with systemic antibiotics. The liver abscess resolved with antimicrobials and percutaneous transhepatic drainage, but regarding the endophthalmitis she was discharged from our hospital without recovery of her eyesight. Metastatic spread to the eye should be considered in all patients with liver abscesses who experience ocular signs and symptoms in order to establish a timely diagnosis of EE.

Endogenous Endophthalmitis Associated with Pyogenic Liver Abscess Caused by Klebsiella Pneumoniae: A Case Report

2021 ◽  
Vol 2 (4) ◽  
pp. 01-03
Author(s):  
Wael Ferjaoui ◽  
Mohamed Hajri ◽  
Souhail Karwiya ◽  
Seifeddine Baccouche ◽  
Sahir Omrani ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Klebsiella Pneumoniae ◽  
Liver Abscess ◽  
Hepatic Abscess ◽  
Pyogenic Liver Abscess ◽  
Exceptional Case ◽  
Endogenous Endophthalmitis ◽  
Klebsiella Pneumonia ◽  
Percutaneous Transhepatic Drainage ◽  
Transhepatic Drainage

It is about an exceptional case of endogenous endophthalmitis secondary to a liver abscess due to Klebsiella pneumonia. The patient was a 50-year-old female, who was admitted for fever and right upper quadrant abdominal pain. Abdominal computed tomography showed an abscess measured 8 cm and located in segment 7 of the liver. It was treated by antibiotics and percutaneous transhepatic drainage. Pus sample was positive for Klebsiella pneumoniae. On day 3 after admission, patient complained of a red left eye with decreased vision. The diagnosis of endogenous endophthalmitis was strongly suspected. An Early treatment was initiated with a good evolution. The syndrome Endophthalmitis-hepatic abscess is an exceptional syndrome rarely reported in the literature. It must evoked in case of hepatic abscess caused by klebsiella pneumonia.

Endogenous endophthalmitis associated with pyogenic liver abscess caused by Klebsiella pneumoniae: A case report

2021 ◽  
Vol 1 (1) ◽  
pp. 007-009
Author(s):  
Mohamed Hajri ◽  
Souhail Karwiya ◽  
Wael Ferjaoui ◽  
Seifeddine Baccouche ◽  
Sahir Omrani ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Klebsiella Pneumoniae ◽  
Liver Abscess ◽  
Hepatic Abscess ◽  
Pyogenic Liver Abscess ◽  
Exceptional Case ◽  
Endogenous Endophthalmitis ◽  
Klebsiella Pneumonia ◽  
Percutaneous Transhepatic Drainage ◽  
Transhepatic Drainage

It is about an exceptional case of endogenous endophthalmitis secondary to a liver abscess due to Klebsiella pneumonia. The patient was a 50-year-old female, who was admitted for fever and right upper quadrant abdominal pain. Abdominal computed tomography showed an abscess measured 8 cm and located in segment 7 of the liver. It was treated by antibiotics and percutaneous transhepatic drainage. Pus sample was positive for Klebsiella pneumoniae. On day 3 after admission, patient complained of a red left eye with decreased vision. The diagnosis of endogenous endophthalmitis was strongly suspected. An Early treatment was initiated with a good evolution. The syndrome Endophthalmitis-hepatic abscess" is an exceptional syndrome rarely reported in the literature. It must evoked in case of hepatic abscess caused by klebsiella pneumonia.

scholarly journals Genomic Heterogeneity inKlebsiella pneumoniaeStrains Is Associated with Primary Pyogenic Liver Abscess and Metastatic Infection

2005 ◽  
Vol 192 (1) ◽  
pp. 117-128 ◽  
Author(s):  
Li‐Chen Ma ◽  
Chi‐Tai Fang ◽  
Cha‐Ze Lee ◽  
Chia‐Tung Shun ◽  
Jin‐Town Wang
Keyword(s):  
Liver Abscess ◽  
Pyogenic Liver Abscess ◽  
Metastatic Infection

scholarly journals Cryptogenic and non-cryptogenic liver abscess: A retrospective analysis of 178 cases revealed distinct characteristics

2018 ◽  
Vol 46 (9) ◽  
pp. 3824-3836 ◽  
Author(s):  
Jing Chen ◽  
Minwei Zhang ◽  
Jinlong Chen ◽  
Yaogui Ning ◽  
Xiaoyang Cai ◽  
...  
Keyword(s):  
Liver Abscess ◽  
Multivariate Logistic Regression Analysis ◽  
Pyogenic Liver Abscess ◽  
Tertiary Hospital ◽  
Microbial Infection ◽  
Theoretical Support ◽  
Metastatic Infection ◽  
Infectious Origin ◽  
Male Sex ◽  
Different Characteristics

Objective To enhance theoretical support of pyogenic liver abscess (PLA) treatment by comparing characteristics of patients with either PLA with an identified infectious origin (non-cryptogenic) or PLA with no obvious underlying cause (cryptogenic). Methods This retrospective study included all first episodes of PLA in adults admitted to a tertiary hospital between 2009 and 2016. Relevant clinical data were collected for patients with cryptogenic or non-cryptogenic PLA and compared across a number of characteristics. Results In all, 178 patients were included: 111 cases (62.4%) of cryptogenic PLA, and 67 cases (37.6%) of non-cryptogenic PLA. Diabetes mellitus was significantly more prevalent in patients with cryptogenic PLA than those with non-cryptogenic PLA. The proportion of multidrug resistance/poly-microbial infection was significantly lower and Klebsiella pneumoniae infection was significantly higher in the cryptogenic versus non-cryptogenic PLA group. Metastatic infection occurred in four patients with cryptogenic PLA only, and all had diabetes and K. pneumoniae infection. Multivariate logistic regression analysis revealed that male sex, diabetes and K. pneumoniae were independent predictors for cryptogenic PLA. Conclusions Cryptogenic and non-cryptogenic PLA have distinctly different characteristics, suggesting a potential need for different treatment approaches.

Percutaneous transhepatic drainage of lung abscess through a diaphragmatic fistula caused by a penetrating liver abscess

2011 ◽  
Vol 29 (9) ◽  
pp. 663-666 ◽  
Author(s):  
Masako Taniguchi ◽  
Satoru Morita ◽  
Eiko Ueno ◽  
Mitsutoshi Hayashi ◽  
Motonao Ishikawa ◽  
...  
Keyword(s):  
Liver Abscess ◽  
Lung Abscess ◽  
Percutaneous Transhepatic Drainage ◽  
Transhepatic Drainage

scholarly journals Endogenous Endophthalmitis Associated with Pyogenic Liver Abscess Caused by Klebsiella pneumoniae

2019 ◽  
Vol 58 (17) ◽  
pp. 2507-2514 ◽  
Author(s):  
Masashi Fujita ◽  
Atsushi Takahashi ◽  
Hiromichi Imaizumi ◽  
Manabu Hayashi ◽  
Ken Okai ◽  
...  
Keyword(s):  
Klebsiella Pneumoniae ◽  
Liver Abscess ◽  
Pyogenic Liver Abscess ◽  
Endogenous Endophthalmitis
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