Abstract

BATRES IGLESIAS, A.P.; PEREZ CABEZA, M.I.; RIO PARDO, M.J. del  and  CASTANO, M.. Endogenous endophthalmitis as a first clinical manifestation of Klebsiella sepsis: The importance of an early diagnosis. Arch Soc Esp Oftalmol [online]. 2011, vol.86, n.12, pp.412-414. ISSN 0365-6691.

Case report: A diabetic patient who developed a unilateral uveitis with a chorioretinitis patch in his right eye associated with decreased visual acuity and fever. Endogenous endophthalmitis was suspected and complementary tests were performed, finding hepatic abscesses with Klebsiella isolation in the biopsy. The ocular disorder slowly improved with intravenous therapy and guided percutaneous liver drainage. Conclusion: Endogenous Klebsiella endophthalmitis is an uncommon condition with severe complications. An early diagnosis and aggressive antibiotic therapy can ameliorate the final course but the visual outcome still remains poor.

Keywords : Klebsiella; Liver abscess; Endogenous endophthalmitis.

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