Al-Mahmood Ammar M, Al-Binali Ghada Y, Alkatan Hind, Abboud Emad B, Abu El-Asrar Ahmed M
Department of Ophthalmology, King Abdulaziz University Hospital, King Saud University, Riyadh, 11411, Kingdom of Saudi Arabia.
Int Ophthalmol. 2011 Apr;31(2):145-8. doi: 10.1007/s10792-011-9429-9. Epub 2011 Jan 25.
To report two unusual cases of endogenous endophthalmitis associated with liver abscess caused by Klebsiella pneumoniae. Retrospective, interventional case series. Two patients, known to have type II diabetes mellitus, presented with sudden visual loss following several days of abdominal pain. Examinations and investigations revealed endogenous endophthalmitis caused by K. pneumoniae. Despite treatment in the form of intravitreal injection of antibiotics in the first patient and pars plana vitrectomy coupled with intravitreal injection of antibiotics in the second patient the final visual outcome was poor in both cases. The possibility of K. pneumoniae endogenous endophthalmitis should be suspected in diabetic patients presenting with intraocular inflammation.
报告两例由肺炎克雷伯菌引起的与肝脓肿相关的内源性眼内炎罕见病例。回顾性、介入性病例系列研究。两名已知患有II型糖尿病的患者在腹痛数天后突然视力丧失。检查和调查显示为肺炎克雷伯菌引起的内源性眼内炎。尽管第一例患者接受了玻璃体内注射抗生素治疗，第二例患者接受了玻璃体切割联合玻璃体内注射抗生素治疗，但两例患者最终的视力预后均较差。对于出现眼内炎症的糖尿病患者，应怀疑肺炎克雷伯菌引起内源性眼内炎的可能性。
