Endogenous Endophthalmitis Associated with Pyogenic Liver Abscess Caused by Klebsiella pneumoniae

• Published in: Internal Medicine Vol. 58; no. 17; pp. 2507 - 2514
• Main Authors: Fujita, Masashi, Takahashi, Atsushi, Imaizumi, Hiromichi, Hayashi, Manabu, Okai, Ken, Abe, Kazumichi, Ohira, Hiromasa
• Format: Journal Article
• Language: English
• Published: Japan The Japanese Society of Internal Medicine 01.09.2019; Japan Science and Technology Agency
• Subjects: Aged; Anti-Bacterial Agents - therapeutic use; Antibiotics; Case Report; Drainage; Endophthalmitis; Endophthalmitis - complications; Endophthalmitis - diagnosis; Endophthalmitis - microbiology; Endophthalmitis - therapy; Female; Humans; Internal medicine; Klebsiella; Klebsiella Infections - diagnosis; Klebsiella Infections - drug therapy; Klebsiella pneumoniae; Liver; liver abscess; Liver Abscess, Pyogenic - complications; Liver Abscess, Pyogenic - diagnosis; Liver Abscess, Pyogenic - microbiology; Liver Abscess, Pyogenic - therapy; Male; Middle Aged; Prognosis; Surgery; Vision Disorders - etiology; Klebsiella pneumoniae; endophthalmitis; liver abscess
• ISSN: 0918-2918; 1349-7235
• DOI: 10.2169/internalmedicine.2684-19

We report 2 cases of endogenous endophthalmitis associated with pyogenic liver abscess caused by Klebsiella pneumoniae. Case 1 involved a 70-year-old woman and case 2 involved a 50-year-old man who were admitted to our hospital with diagnoses of liver abscess and endogenous endophthalmitis, respectively. The liver abscess resolved with antibiotics and percutaneous transhepatic drainage in case 1 and with antibiotics alone in case 2. Even though both cases underwent ophthalmic surgery, they were discharged from our hospital without the recovery of their eyesight. An earlier diagnosis and treatment are needed to improve the prognosis of endophthalmitis.