Klebsiella pneumoniae has emerged as the predominant pathogenic agent of liver abscess in Asia, and the incidence is increasing worldwide. Hypervirulent strains are associated with septic metastatic dissemination in the eyes, lungs, and central nervous system, causing severe morbidity. We present the case of a 54year old man, with no previous comorbidities, admitted in emergency for the blind red painful eye. Further investigation documented septic endophthalmitis with transscleral extension and orbital cellulitis. Thoraco-abdominal computed tomography evidenced a hepatic abscess as the locus of the primary infection. Intravenous antibiotherapy with cefuroxime, followed by meropenem and vancomycin were efficient for managing the hepatic abscess. However, as the eyeball was perforated at the admission, evisceration was performed. The vitreous sample revealed Klebsiella pneumoniae, with a positive string test as the etiologic agent. The diagnostic and therapeutic management required a permanent collaboration between an ophthalmologist, infectious diseases specialist, surgeon, and radiologist.
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Grecescu, Mihai Leonard; Grecescu, Monica; Maria, Andreea Smarandache; Branescu, Cristian Mihai; Anghelache, Anca; Dumitriu, Anca Silvia; Paunica, Stana; and Costea, Andreea Cristina
"Klebsiella pneumoniae cryptogenic liver abscess and endophthalmitis – a case report and review of literature,"
Journal of Mind and Medical Sciences: Vol. 8
, Article 24.
Available at: https://scholar.valpo.edu/jmms/vol8/iss2/24