Endogenous endophthalmitis associated with pyogenic liver abscess caused by Klebsiella pneumoniae: A case report

Mohamed Hajri, Souhail Karwiya, Wael Ferjaoui *, Seifeddine Baccouche, Sahir Omrani, Hafedh Mestiri and Rached Bayar

Department of General surgery, Mongi Slim Hospital, Faculty of Medicine of Tunis, El Manar University, tunis, Tunisia.
 
Case Report
Open Access Research Journal of Life Sciences, 2021, 01(01), 007–009.
Article DOI: 10.53022/oarjls.2021.1.1.0102
Publication history: 
Received on 11 March 2021; revised on 13 April 2021; accepted on 16 April 2021
 
Abstract: 
It is about an exceptional case of endogenous endophthalmitis secondary to a liver abscess due to Klebsiella pneumonia. The patient was a 50-year-old female, who was admitted for fever and right upper quadrant abdominal pain. Abdominal computed tomography showed an abscess measured 8 cm and located in segment 7 of the liver. It was treated by antibiotics and percutaneous transhepatic drainage. Pus sample was positive for Klebsiella pneumoniae. On day 3 after admission, patient complained of a red left eye with decreased vision. The diagnosis of endogenous endophthalmitis was strongly suspected. An Early treatment was initiated with a good evolution.
The syndrome Endophthalmitis-hepatic abscess" is an exceptional syndrome rarely reported in the literature. It must evoked in case of hepatic abscess caused by klebsiella pneumonia.
 
Keywords: 
Liver; Abcess; Endophthalmitis, Klebsiella pneumoniae
 
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