Endogenous Endophthalmitis and Liver Abscess: A Metastatic Infection or a Coincidence?
Klebsiella pneumoniae is a gram-negative pathogen that is a common cause of severe infections, including pyogenic liver abscess. Dissemination of K. pneumoniae to other organs, including the eye, is associated with significant morbidity and mortality. In the particular case of endogenous endophthalm...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2021-09-01
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| Series: | GE: Portuguese Journal of Gastroenterology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/518587 |
| _version_ | 1819045288510226432 |
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| author | Catarina Correia Sandra Lopes Sofia Mendes Nuno Almeida Pedro Figueiredo |
| author_facet | Catarina Correia Sandra Lopes Sofia Mendes Nuno Almeida Pedro Figueiredo |
| author_sort | Catarina Correia |
| collection | DOAJ |
| description | Klebsiella pneumoniae is a gram-negative pathogen that is a common cause of severe infections, including pyogenic liver abscess. Dissemination of K. pneumoniae to other organs, including the eye, is associated with significant morbidity and mortality. In the particular case of endogenous endophthalmitis (EE) by K. pneumoniae the prognosis is poor. We report the case of a middle-aged female with K. pneumoniae liver abscess. The patient developed metastatic endophthalmitis that was aggressively treated with systemic antibiotics. The liver abscess resolved with antimicrobials and percutaneous transhepatic drainage, but regarding the endophthalmitis she was discharged from our hospital without recovery of her eyesight. Metastatic spread to the eye should be considered in all patients with liver abscesses who experience ocular signs and symptoms in order to establish a timely diagnosis of EE. |
| first_indexed | 2024-12-21T10:26:12Z |
| format | Article |
| id | doaj.art-b0870fe1f21541a887e0bb0f674ea9c4 |
| institution | Directory Open Access Journal |
| issn | 2341-4545 2387-1954 |
| language | English |
| last_indexed | 2024-12-21T10:26:12Z |
| publishDate | 2021-09-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | GE: Portuguese Journal of Gastroenterology |
| spelling | doaj.art-b0870fe1f21541a887e0bb0f674ea9c42022-12-21T19:07:19ZengKarger PublishersGE: Portuguese Journal of Gastroenterology2341-45452387-19542021-09-011610.1159/000518587518587Endogenous Endophthalmitis and Liver Abscess: A Metastatic Infection or a Coincidence?Catarina Correia0https://orcid.org/0000-0001-5609-5262Sandra Lopes1Sofia Mendes2Nuno Almeida3Pedro Figueiredo4Gastroenterology Department, Coimbra University Hospital Center, Coimbra, PortugalGastroenterology Department, Coimbra University Hospital Center, Coimbra, PortugalGastroenterology Department, Coimbra University Hospital Center, Coimbra, PortugalGastroenterology Department, Coimbra University Hospital Center, Coimbra, PortugalGastroenterology Department, Coimbra University Hospital Center, Coimbra, PortugalKlebsiella pneumoniae is a gram-negative pathogen that is a common cause of severe infections, including pyogenic liver abscess. Dissemination of K. pneumoniae to other organs, including the eye, is associated with significant morbidity and mortality. In the particular case of endogenous endophthalmitis (EE) by K. pneumoniae the prognosis is poor. We report the case of a middle-aged female with K. pneumoniae liver abscess. The patient developed metastatic endophthalmitis that was aggressively treated with systemic antibiotics. The liver abscess resolved with antimicrobials and percutaneous transhepatic drainage, but regarding the endophthalmitis she was discharged from our hospital without recovery of her eyesight. Metastatic spread to the eye should be considered in all patients with liver abscesses who experience ocular signs and symptoms in order to establish a timely diagnosis of EE.https://www.karger.com/Article/FullText/518587endogenous endophthalmitispyogenic liver abscesspercutaneous drainageklebsiella pneumoniae |
| spellingShingle | Catarina Correia Sandra Lopes Sofia Mendes Nuno Almeida Pedro Figueiredo Endogenous Endophthalmitis and Liver Abscess: A Metastatic Infection or a Coincidence? GE: Portuguese Journal of Gastroenterology endogenous endophthalmitis pyogenic liver abscess percutaneous drainage klebsiella pneumoniae |
| title | Endogenous Endophthalmitis and Liver Abscess: A Metastatic Infection or a Coincidence? |
| title_full | Endogenous Endophthalmitis and Liver Abscess: A Metastatic Infection or a Coincidence? |
| title_fullStr | Endogenous Endophthalmitis and Liver Abscess: A Metastatic Infection or a Coincidence? |
| title_full_unstemmed | Endogenous Endophthalmitis and Liver Abscess: A Metastatic Infection or a Coincidence? |
| title_short | Endogenous Endophthalmitis and Liver Abscess: A Metastatic Infection or a Coincidence? |
| title_sort | endogenous endophthalmitis and liver abscess a metastatic infection or a coincidence |
| topic | endogenous endophthalmitis pyogenic liver abscess percutaneous drainage klebsiella pneumoniae |
| url | https://www.karger.com/Article/FullText/518587 |
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