Document Detail


Metastatic septic endophthalmitis in pyogenic liver abscess.
MedLine Citation:
PMID:  3053874     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a consecutive series of 180 patients with pyogenic liver abscess, three patients (two men and one woman, between 46 and 75 years of age) had metastatic Klebsiella endophthalmitis. The incidence of metastatic endophthalmitis was 1.7% in patients with pyogenic liver abscess, 5.2% in patients with Klebsiella liver abscess, and 7.8% in patients with Klebsiella liver abscess having Klebsiella bacteremia. Despite aggressive therapeutic measures, the men permanently lost their vision and the woman eventually required an evisceration of her right eye. Delayed recognition and/or treatment as well as the nature of bacteria probably contributed to the tragic outcome. The findings suggest that a high index of suspicion is critical and a combined effort of the internist and ophthalmologist is mandatory.
Authors:
C T Chiu; D Y Lin; Y F Liaw
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of clinical gastroenterology     Volume:  10     ISSN:  0192-0790     ISO Abbreviation:  J. Clin. Gastroenterol.     Publication Date:  1988 Oct 
Date Detail:
Created Date:  1988-12-20     Completed Date:  1988-12-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7910017     Medline TA:  J Clin Gastroenterol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  524-7     Citation Subset:  IM    
Affiliation:
Liver Unit, Chang Gung Memorial Hospital, Chang Gung Medical College, Taipei, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Endophthalmitis / etiology*
Female
Humans
Klebsiella Infections / complications*
Klebsiella pneumoniae / isolation & purification
Liver Abscess / complications*
Male
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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