Rare case of endogenous Klebsiella endophthalmitis associated with emphysematous prostatitis in a patient with diabetes, cirrhosis and COVID-19.

Autor:	Crane AB; Department of Ophthalmology, Rutgers New Jersey Medical School, Newark, New Jersey, USA abc126@njms.rutgers.edu., Abreu Diaz MC; Internal Medicine, Rutgers New Jersey Medical School, Newark, New Jersey, USA., Jiang Y; Internal Medicine, Rutgers New Jersey Medical School, Newark, New Jersey, USA., Pergament KM; Internal Medicine, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2021 Apr 21; Vol. 14 (4). Date of Electronic Publication: 2021 Apr 21.
DOI:	10.1136/bcr-2020-240425
Abstrakt:	A 35-year-old Hispanic man presented with fever, chills, dysuria, diarrhoea, scleral icterus, tachycardia and tachypnea. He was found to be COVID-19 positive, CT of the pelvis revealed prostatic abscess, and urine culture grew Klebsiella pneumoniae Additionally, he was found to have diabetes and cirrhosis. During treatment, the patient developed vision loss, and was diagnosed with endogenous Klebsiella endophthalmitis. The patient was treated with intravenous antibiotics, pars plana vitrectomy, intravitreal antibiotics and cystoscopy/suprapubic catheter placement. On follow-up, the patient has had the suprapubic catheter removed, and successfully passed a voiding trial, but suffers permanent vision loss in both eyes. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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