Rinsho Ganka Volume 71, Issue 5 (May 2017)

A case of Klebsiella pneumoniae endophthalmitis treated by vitreous surgery and intravitreal injection of antibiotics Ayana Kurobe 1 , Azusa Fujikawa 1 , Sugao Miyagi 1 , Tomoka Kurosaki 1 , Makiko Matsumoto 1 , Ayano Kajiyama 1 , Naoki Imamura 1 , Takashi Kitaoka 1 1Department of Ophthalmology and Visual Sciences, Graduate School of Biomedical Sciences, Nagasaki University pp.713-717
Published Date 2017/5/15
DOI https://doi.org/10.11477/mf.1410212262
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Abstract Purpose: To report a case of metastatic Klebsiella pneumoniae endophthalmitis with favorable outcome following vitreous surgery and intravitreal injection of antibiotics.

Case: A 69-year-old male was referred to us for impaired vision in the left eye. He had had fever since one week before and been suspected of liver abscess.

Findings and Clinical Course: Corrected visual acuity was 1.0 in the right eye and 0.2 in the left. The left eye showed signs of inflammation in the anterior chamber and the vitreous. The left fundus showed multiple hemorrhagic patches. Subretinal abscess was present in the temporal sector. The findings were suggestive of endogenous endophthalmitis secondary to liver abscess. The left eye showed hypopyon the next day and was treated by vitrectomy. Culture of circulating blood showed Klebsiella pneumoniae. The left eye received intravitreal injection of ceftazidime for 4 consecutive days. Signs of inflammation subsided and the left visual acuity improved to 1.2 six months later.

Conclusion: This case illustrates that early vitrectomy and intravitreal injection of antibiotics may be effective for endogenous endophthalmitis without recourse to drainage of subretinal abscess.

Copyright © 2017, Igaku-Shoin Ltd. All rights reserved.


71巻5号 (2017年5月)
電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院