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 ◽  
...  

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.

2021 ◽  
Vol 2 (4) ◽  
pp. 01-03
Author(s):  
Wael Ferjaoui ◽  
Mohamed Hajri ◽  
Souhail Karwiya ◽  
Seifeddine Baccouche ◽  
Sahir Omrani ◽  
...  

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.


Author(s):  
Catarina Correia ◽  
Sandra Lopes ◽  
Sofia Mendes ◽  
Nuno Almeida ◽  
Pedro Figueiredo

<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.


2019 ◽  
Vol 58 (17) ◽  
pp. 2507-2514 ◽  
Author(s):  
Masashi Fujita ◽  
Atsushi Takahashi ◽  
Hiromichi Imaizumi ◽  
Manabu Hayashi ◽  
Ken Okai ◽  
...  

Author(s):  
Rohit Sharma ◽  
Sundus Sardar ◽  
Waail Rozi ◽  
Ibrahim Sa'id Khamees ◽  
Ibrahim Mohammad Obeidat ◽  
...  

Background: Community-acquired pyogenic liver abscesses due to Klebsiella pneumoniae is increasingly recognized across the world with more incidence in East Asian countries. Cases of endogenous endophthalmitis secondary to pyogenic liver abscesses with K1 serotype K. pneumoniae have been reported in the literature. We report a case of endogenous panophthalmitis along with cerebellar abscess occurring in a newly diagnosed diabetic patient secondary to pyogenic liver abscess. Case presentation: A middle-aged male of east Asian descent presented with sudden onset right eye vision loss associated with fever. Workup revealed newly diagnosed diabetes mellitus, panophthalmitis, cerebellar abscess, and pyogenic liver abscess due to K. pneumoniae. The patient, unfortunately, underwent right eye evisceration. Conclusion: Endogenous panophthalmitis due to K. pneumoniae is a fatal complication and can result in blindness. Multiple foci of infection can be present in such cases. Thorough workup, prompt antibiotics as well as surgical treatment may improve prognosis.


2020 ◽  
Vol 101 ◽  
pp. 259-268
Author(s):  
Ikram Hussain ◽  
Saba Ishrat ◽  
Dawn Ching Wen Ho ◽  
Shahab R. Khan ◽  
Meyyur Aravamudan Veeraraghavan ◽  
...  

2021 ◽  
Vol 2 (2) ◽  
pp. 2881-2885
Author(s):  
Gabrielle Rodrigues Tussolini ◽  
Amanda França Silva Aguiar ◽  
Gabriella Fonseca de Jesus Mesquita ◽  
Dayene Bueno Cruvinel De Lima ◽  
Érick Nathan Barbosa Da Silva ◽  
...  

Klebsiella Pneumoniae is a potentially lethal superbug whose likelihood of causing pyogenic liver abscess is already known. The following report describes the clinical case of a 65 years old diabetic, who had dark fever, abdominal pain and nausea. The patient had been diagnosed with a pyogenic liver abscess caused by the microorganism Klebsiella Pneumoniae. The study aims to emphasize to the public the importance of strict glycemic control to potentially reduce the predisposition to infections. It details the adopted diagnostic approach, therapeutic conduct composed mainly of antibiotic therapy, its clinical evolution and its outcome.


2021 ◽  
Vol Volume 14 ◽  
pp. 71-77
Author(s):  
Bo Zhao ◽  
Renjing Hu ◽  
Lei Gong ◽  
Xiaoyun Wang ◽  
Yingwei Zhu ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document