Liver Abscess and Metastatic Endophthalmitis

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...

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Bibliographic Details
Published in:	JIM - high impact case reports Vol. 4
Main Authors:	Jason T. Wells MD, Catherine R. Lewis MD, PhD, Omar K. Danner MD, FACS, Kenneth L. Wilson MD, FACS, L. Ray Matthews MD, FACS
Format:	Journal Article
Language:	English
Published:	SAGE Publishing 01-12-2015
Online Access:	Get full text
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Summary:	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.
ISSN:	2324-7096
DOI:	10.1177/2324709615624125