• Internal medicine · Jan 2013

    Case Reports

    A liver abscess deprived a healthy adult of eyesight: endogenous endophthalmitis associated with a pyogenic liver abscess caused by serotype K1 Klebsiella pneumonia.

    • Takahisa Maruno, Yoko Ooiwa, Ken Takahashi, Yuzo Kodama, Shunji Takakura, Satoshi Ichiyama, and Tsutomu Chiba.
    • Department of Gastroenterology and Hepatology, Graduate School of Medicine and Faculty of Medicine, Kyoto University, Japan. maru_p@hotmail.co.jp
    • Intern. Med. 2013 Jan 1;52(8):919-22.

    AbstractKlebsiella pneumonia usually causes urinary tract infections, pneumonia, and other infectious diseases in hospitalized and immunocompromised patients. Among the types of Klebsiella pneumonia, serotype K1 is known to be a highly virulent pathogen. We herein report the case of a healthy 63-year-old man with a pyogenic liver abscess and bilateral endogenous endophthalmitis caused by serotype K1 Klebsiella pneumonia. Although the patient received percutaneous abscess drainage and antibiotic therapy, he lost his eyesight. To improve the poor prognoses of ocular complications, providing both an earlier diagnosis and treatment is critical.

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