Two Cases of Bilateral Endogenous Klebsiella pneumoniae Endophthalmitis in Primary Klebsiella pneumoniae Liver Abscess Patients.

Han, Jung Mo; Kim, Nam Ju

doi:2009.50.10.1590

J Korean Ophthalmol Soc > Volume 50(10); 2009 > Article

Case Report

Journal of the Korean Ophthalmological Society 2009;50(10):1590-1594.
DOI: https://doi.org/10.3341/jkos.2009.50.10.1590 Published online October 15, 2009.

Two Cases of Bilateral Endogenous Klebsiella pneumoniae Endophthalmitis in Primary Klebsiella pneumoniae Liver Abscess Patients.

Jung Mo Han, Nam Ju Kim

¹Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea. resourceful@hanmail.net
²Department of Ophthalmology, Seoul National University Bundang Hospital, Seongnam, Korea.

원발성 폐렴막대균 간농양 환자에서 발생한 양안 내인성 폐렴막대균 안내염 2예

한정모¹ㆍ김남주^1,2

Department of Ophthalmology, Seoul National University College of Medicine¹, Seoul, Korea / Department of Ophthalmology, Seoul National University Bundang Hospital², Seongnam, Korea

Abstract

PURPOSE
To report 2 cases of bilateral endogenous endophthalmitis in patients with Klebsiella pneumoniae primary liver abscess. CASE SUMMARY: A 78-year-old woman and a 76-year-old woman presented with bilateral blurred vision for 2 to 3 days. The women had fever, cough, and chills for 5 to 10 days. Abdominal computed tomography revealed liver abscess and ophthalmologic examination results suggested bilateral endophthalmitis. In both patients, Klebsiella pneumoniae was identified from the liver abscess aspirate. In one patient, Klebsiella pneumoniae was also identified from a vitreous sample. Both patients lost their vision despite intravitreal and intravenous antibiotics injection.

Key Words: Bilateral endogenous endophthalmitis;Klebsiella pneumoniae;Primary liver abscess