Liver Abscess Presenting with Klebsiella Endophthalmitis as the First and the Only Sign
| Autor: | Barış, Mine, Furundaoturan, Onur, Yılmaz, Suzan Güven, Nalçacı, Serhad |
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| Rok vydání: | 2022 |
| Zdroj: | Turkiye Klinikleri Journal of Ophthalmology. 31:45-48 |
| ISSN: | 2146-9008 1300-0365 |
| Popis: | This report aimed to present an endogenous endophthalmitis case occurred as an embolic complication of a liver abscess without any signs other than ocular symptoms. A 58-year-old man was admitted to ophthalmology clinic due to acute onset severe pain and loss of vision in the left eye. With no history of any ocular trauma or surgery, the patient underwent a thorough evaluation including blood sampling, cultures, and abdominal imaging as per the recommendations of the consultation to general surgery department. Computed tomography revealed a hepatic abscess, and an ultrasonography guided drainage was performed for treatment. The purulent drainage fluid culture was positive for Klebsiella pneumoniae. Ocular infection was managed by intravitreal antibiotic and steroid injections in addition to topical fortified and intravenous antibiotic therapy. After medical therapy, a vitrectomy was performed for the sequel such as fibrotic membranes but there was no improvement in the vision. |
| Databáze: | OpenAIRE |
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