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. 2015 Dec 31;4(1):2324709615624125.
doi: 10.1177/2324709615624125. eCollection 2016 Jan-Mar.

Klebsiella pneumoniae Liver Abscess and Metastatic Endophthalmitis

Jason T Wells  1 , Catherine R Lewis  2 , Omar K Danner  2 , Kenneth L Wilson  2 , L Ray Matthews  2
Affiliations

Klebsiella pneumoniae Liver Abscess and Metastatic Endophthalmitis

Jason T Wells et al. J Investig Med High Impact Case Rep. .

Abstract

Introduction. Klebsiella pneumoniae is a well-known cause of liver abscess. Higher rates of liver abscess associated with Klebsiella pneumoniae are seen in Taiwan. Metastatic endophthalmitis is a common complication associated with a poor prognosis despite aggressive therapy. Case Report. We report a case of a 67-year-old Korean female with Klebsiella pneumoniae liver abscess. The patient developed metastatic endophthalmitis and ultimately succumbed to her disease despite aggressive medical and surgical treatment. Conclusion. Dissemination of Klebsiella pneumoniae is associated with significant morbidity and mortality. Liver abscesses preferably should be treated with percutaneous drainage, but surgical treatment is needed in some cases. Metastatic spread to the eye is a common complication that must be treated aggressively with intravenous antibiotics and surgical intervention if necessary.

Keywords: Klebsiella pneumoniae; liver abscess; metastatic endophthalmitis; percutaneous drainage.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
(A) Chest x-ray demonstrating a crescentic lucency underneath the right hemidiaphragm concerning for free air within the abdomen (black arrow). (B) Large right liver abscess (white arrow).
Figure 2.
Figure 2.
Abnormal intraocular enhancement of the left globe involving both the posterior and anterior chambers consistent with active endophthalmitis (arrow).
See this image and copyright information in PMC

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