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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Endogenous endophthalmitis as a first clinical manifestation of Klebsiella sepsi...
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Vol. 86. Issue 12.
Pages 412-414 (December 2011)
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Vol. 86. Issue 12.
Pages 412-414 (December 2011)
Short communication
Endogenous endophthalmitis as a first clinical manifestation of Klebsiella sepsis. The importance of an early diagnosis
Primera manifestación oftalmológica de una sepsis por Klebsiella. Importancia de la sospecha diagnóstica precoz
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A.P. Batres Iglesias
Corresponding author
apbit@hotmail.com

Corresponding author.
, M.I. Pérez Cabeza, M.J. del Río Pardo, M. Castaño
Departamento de Uveítis, Servicio de Oftalmología, Hospital Regional Carlos Haya, Málaga, Spain
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Abstract
Case report

A diabetic patient who developed a unilateral uveitis with a chorioretinitis patch in his right eye associated with decreased visual acuity and fever.

Endogenous endophthalmitis was suspected and complementary tests were performed, finding hepatic abscesses with Klebsiella isolation in the biopsy. The ocular disorder slowly improved with intravenous therapy and guided percutaneous liver drainage.

Conclusion

Endogenous Klebsiella endophthalmitis is an uncommon condition with severe complications. An early diagnosis and aggressive antibiotic therapy can ameliorate the final course but the visual outcome still remains poor.

Keywords:
Klebsiella
Liver abscess
Endogenous endophthalmitis
Resumen
Caso clínico

Paciente diabético que desarrolla una uveítis unilateral con un foco de coriorretinitis en el ojo derecho asociada a fiebre y disminución de la visión.

Sospechándose una endoftalmitis endógena se realizaron pruebas complementarias encontrándose abscesos hepáticos con biopsia positiva para Klebsiella. La afectación ocular se fue resolviendo gracias a antibioticoterapia intravenosa y al drenaje percutáneo de los abscesos.

Conclusión

La endoftalmitis endógena por Klebsiella es un hallazgo poco frecuente con consecuencias graves. Un diagnóstico y un tratamiento antibioticoterápico tempranos pueden mejorar el cuadro aunque la visión resultante suele ser pobre.

Palabras clave:
Klebsiella
Absceso hepático
Endoftalmitis endógena

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