Endogenous Endophthalmitis Due to Klebsiella ozaenae.

Kim, Iris Na Heah; Moon, Song Mi; Chi, Mi Jung

doi:2016.57.7.1139

J Korean Ophthalmol Soc > Volume 57(7); 2016 > Article

Case Report

Journal of the Korean Ophthalmological Society 2016;57(7):1139-1143.
DOI: https://doi.org/10.3341/jkos.2016.57.7.1139 Published online July 15, 2016.

Endogenous Endophthalmitis Due to Klebsiella ozaenae.

Iris Na Heah Kim, Song Mi Moon, Mi Jung Chi

¹Department of Ophthalmology, Gachon University Gil Medical Center, Incheon, Korea. cmj@gilhospital.com
²Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea.

<em>Klebsiella ozaenae</em>에 의한 내인성 안내염

김나혜¹⋅문송미²⋅지미정¹

가천대학교 길병원 안과학교실¹, 가천대학교 길병원 내과학교실²

Abstract

PURPOSE
To report a case of endogenous endophthalmitis due to Klebsiella ozaenae, which is a rare causative organism of endophthalmitis. CASE SUMMARY: A 61-year-old male who was undergoing chemotherapy for hepatocellular carcinoma complained of sudden visual loss and ocular pain in his left eye for 2 days. On the first examination, the patient's visual acuity was counting fingers at 10 cm and the intraocular pressure was elevated to 29 mm Hg. Partial scleral rupture and choroidal prolapse were observed. Subretinal abscess was detected with increased echogenicity using ultrasonography. The patient complained of burning sensation on voiding and urinary frequency; subsequent urinalysis showed pyuria and bacteriuria. Intravitreal and systemic antibiotics were administered under the impression of endogenous endophthalmitis caused by urinary tract infection. Despite treatment, visual acuity decreased to no light perception in 4 days and intraocular pressure and pain was uncontrollable. Enucleation was performed and pus culture from the eye during surgery revealed Klebsiella ozaenae. CONCLUSIONS: Klebsiella ozaenae is a rare causative organism of endophthalmitis and shows a rapid progress and poor prognosis. Endogenous endophthalmitis must be highly suspected in patients with urinary tract infection as well as pyogenic liver abscess.

Key Words: Endogenous endophthalmitis;Klebsiella ozaenae