Septic endophthalmitis and meningitis associated with Klebsiella pneumoniae liver abscess |
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| Affiliation: | 1. Second Affiliated Hospital of Zhejiang University, Hangzhou, PR China;2. Shenzhen Key Lab for Food Biological Safety Control, Food Safety and Technology Research Center, Hong Kong PolyU Shen Zhen Research Institute, Shenzhen, PR China;3. State Key Lab of Chirosciences, Department of Applied Biology and Chemical Technology, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong;4. Clinical Laboratory, Medicine Department, He Nan Provincial People''s Hospital, Zhengzhou, PR China;5. First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, PR China |
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| Abstract: | We report a female case of septic endophthalmitis and meningitis associated with Klebsiella pneumoniae liver abscess which was thought to be caused by duodeno-biliary reflux related to choledochoduodenostomy. We treated this patient by ultrasonography-guided percutaneous abscess drainage and intravenous administration of third generation antibiotics. However, the visual function of her left eye was eventually lost. Reports of liver abscess with metastatic lesions are rare, and our experience suggests that more physicians should be alert to septic metastatic lesions such as K. pneumoniae liver abscess or bacteremia with complaints of ocular or central nervous system symptoms. |
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