Batres Iglesias A P, Pérez Cabeza M I, Del Río Pardo M J, Castaño M
Departamento de Uveítis, Servicio de Oftalmología, Hospital Regional Carlos Haya, Málaga, España.
Arch Soc Esp Oftalmol. 2011 Dec;86(12):412-4. doi: 10.1016/j.oftal.2011.06.016. Epub 2011 Oct 1.
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.
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.
一名糖尿病患者右眼出现单侧葡萄膜炎，并伴有脉络膜视网膜炎病灶，同时视力下降和发热。怀疑为内源性眼内炎，并进行了相关补充检查，在活检中发现肝脓肿且分离出肺炎克雷伯菌。经静脉治疗及经皮肝穿刺引流引导，眼部疾病逐渐好转。
内源性肺炎克雷伯菌性眼内炎是一种罕见疾病，并发症严重。早期诊断及积极的抗生素治疗可改善最终病程，但视力预后仍然较差。
