Septic metastatic endophthalmitis from Klebsiella pneumoniae liver abscess: CT and MR imaging characteristics--report of three cases

• Published in: Radiology Vol. 207; no. 2; p. 411
• Main Authors: Lee, C C, Chen, C Y, Chen, F H, Zimmerman, R A, Hsiao, H S
• Format: Journal Article
• Language: English
• Published: United States 01.05.1998
• Subjects: Abscess - diagnosis; Abscess - diagnostic imaging; Abscess - microbiology; Blindness - microbiology; Brain Diseases - diagnosis; Brain Diseases - diagnostic imaging; Brain Diseases - microbiology; Contrast Media; Diabetes Complications; Endophthalmitis - diagnosis; Endophthalmitis - diagnostic imaging; Endophthalmitis - microbiology; Eye - diagnostic imaging; Eye - microbiology; Eye - pathology; Female; Focal Infection - diagnosis; Focal Infection - diagnostic imaging; Focal Infection - microbiology; Follow-Up Studies; Gadolinium DTPA; Humans; Klebsiella Infections - diagnosis; Klebsiella Infections - diagnostic imaging; Klebsiella pneumoniae; Liver Abscess - diagnosis; Liver Abscess - diagnostic imaging; Liver Abscess - microbiology; Magnetic Resonance Imaging; Male; Middle Aged; Scleritis - diagnostic imaging; Scleritis - microbiology; Scleritis - pathology; Tomography, X-Ray Computed; Uveitis - diagnostic imaging; Uveitis - microbiology; Uveitis - pathology; Vitreous Body - diagnostic imaging; Vitreous Body - microbiology; Vitreous Body - pathology
• ISSN: 0033-8419; 1527-1315
• DOI: 10.1148/radiology.207.2.9577489

Computed tomography (CT) and magnetic resonance (MR) imaging were performed in three diabetic patients with endophthalmitis and liver abscess secondary to Klebsiella pneumoniae infection. Ocular abnormalities included early uveoscleral thickening, fulminant exudative vitreous humor, and late phthisis bulbi. Characteristic imaging findings of endophthalmitis in diabetic patients with liver abscess should raise a high index of suspicion for K pneumoniae infection.