A Liver Abscess Deprived a Healthy Adult of Eyesight: Endogenous Endophthalmitis Associated with a Pyogenic Liver Abscess Caused by Serotype K1  Klebsiella Pneumonia

Takahisa Maruno; Yoko Ooiwa; Ken Takahashi; Yuzo Kodama; Shunji Takakura; Satoshi Ichiyama; Tsutomu Chiba

doi:10.2169/internalmedicine.52.9076

CASE REPORTS

A Liver Abscess Deprived a Healthy Adult of Eyesight: Endogenous Endophthalmitis Associated with a Pyogenic Liver Abscess Caused by Serotype K1 Klebsiella Pneumonia

Takahisa Maruno, Yoko Ooiwa, Ken Takahashi, Yuzo Kodama, Shunji Takakura, Satoshi Ichiyama, Tsutomu Chiba

Author information

Takahisa Maruno
Department of Gastroenterology and Hepatology, Graduate School of Medicine and Faculty of Medicine, Kyoto University, Japan
Yoko Ooiwa
Department of Gastroenterology and Hepatology, Katsura Hospital, Japan
Ken Takahashi
Department of Gastroenterology and Hepatology, Graduate School of Medicine and Faculty of Medicine, Kyoto University, Japan
Yuzo Kodama
Department of Gastroenterology and Hepatology, Graduate School of Medicine and Faculty of Medicine, Kyoto University, Japan
Shunji Takakura
Department of Infection Control and Prevention, Graduate School of Medicine and Faculty of Medicine, Kyoto University, Japan
Satoshi Ichiyama
Department of Infection Control and Prevention, Graduate School of Medicine and Faculty of Medicine, Kyoto University, Japan
Tsutomu Chiba
Department of Gastroenterology and Hepatology, Graduate School of Medicine and Faculty of Medicine, Kyoto University, Japan

Keywords: Klebsiella pneumonia, endophthalmitis, serotype K1, liver abscess

JOURNAL OPEN ACCESS

2013 Volume 52 Issue 8 Pages 919-922

DOI https://doi.org/10.2169/internalmedicine.52.9076

Details

Abstract

Klebsiella pneumonia usually causes urinary tract infections, pneumonia, and other infectious diseases in hospitalized and immunocompromised patients. Among the types of Klebsiella pneumonia, serotype K1 is known to be a highly virulent pathogen. We herein report the case of a healthy 63-year-old man with a pyogenic liver abscess and bilateral endogenous endophthalmitis caused by serotype K1 Klebsiella pneumonia. Although the patient received percutaneous abscess drainage and antibiotic therapy, he lost his eyesight. To improve the poor prognoses of ocular complications, providing both an earlier diagnosis and treatment is critical.

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