Journal of the Korean Ophthalmological Society 2002;43(7):1330-1334.
Published online July 1, 2002.
A Case of Endogenous endophthalmitis Caused by Klebsiella Pneumoniae from Emphysematous Pyelonephritis.
Tschang Seog Oh, Young Ahn, Sung Dong Chang, Yong Kil Lee
Department of Ophthalmology, College of Medicine, Dongguk University, Korea. duke94@netsgo.com
기종성 신우신염 환자에서 발생한 Klebsiella Pneumoniae에 의한 내인성 안내염 1예
오창석 ( Tschang Seog Oh ) , 안영 ( Young Ahn ) , 장성동 ( Sung Dong Chang ) , 이용길 ( Yong Kil Lee )
Abstract
PURPOSE
To report a case of Klebsiella pneumoniae endogenous endophthalmitis secondary to renal or urinary tract infection such as emphysematous pyelonephritis. METHODS: A-56-year-old woman with diabetes mellitus and emphysematous pyelonephritis was reterred to us in consultation for visual loss in her right eye for 5 days. Ophthalmologic evaluation and intervention were performed. RESULTS: Culture revealed Klebsiella pneumoniae from vitreous tap of the right eye. Systemic antibiotics, intravitreous antibiotics injection and vitrectomy were performed, but the eye showed progressive worsening to phthisis. CONCLUSIONS: A high index of suspicion of Klebsiella pneumoniae endogenous endophthalmitis must be carried in patients with renal or urinary tract infection such as emphysematous pyelonephritis as well as hepatobiliary disease such as pyogenic liver abscess.
Key Words: emphysematous pyelonephritis;Klebsiella endogenous endophthalmitis


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