A Case of Endophthalmitis and Abscesses in the Liver and the Lung Caused by<I>Klebsiella Pneumoniae</I>

• NAITO Toshio

  Department of General Medicine, Juntendo University, School of Medicine

• KAWAKAMI Takahiro

  Department of General Medicine, Juntendo University, School of Medicine

• TSUDA Mitsuhiko

  Department of General Medicine, Juntendo University, School of Medicine

• EBE Tsukasa

  Department of General Medicine, Juntendo University, School of Medicine

• SEKIYA Sakae

  Department of General Medicine, Juntendo University, School of Medicine

• ISONUMA Hiroshi

  Department of General Medicine, Juntendo University, School of Medicine

• MATSUMOTO Takao

  Department of General Medicine, Juntendo University, School of Medicine

• WATANABE Kazuyoshi

  Department of General Medicine, Juntendo University, School of Medicine

Bibliographic Information

Other Title

• 肝膿瘍, 肺膿瘍に全眼球炎を合併した<I>Klebsiella pneumoniae</I>感染症の1例
• A Case of Endophthalmitis and Abscesses in the Liver and the Lung Caused byKlebsiella Pneumoniae

Abstract

[Case report] A 65-year-old male war admitted to a local hospital because of fever.He was treated with piperacillin and clindamycin without noticeable effect.He began to complain of loss of vi-sion on the third hospital day and culture of the blood specimen yieldedKlebsiella pneumoniae.He was diagnosed as endophthalmitis and referred to our hospital for further examination.The hematologi-cal laboratory test showed leukocytosis (12, 700/ul) and increased CRP (20.4mg/dl).A computed to-mographic (CT) scan of the thorax revealed multiple lung abscesses.An abdominal ultrasonographic scan and a CT scan of the abdomen revealed multiple liver abscesses.We drained the abscess in the liver andKlebsiella pneumoniaewas detected from the sample of aspirated fluid and his sputum.Mero-penem was administered intravenously.Fever started to improve on the tenth hospital day and the size of both liver and lung abscesses were reduced. He has lost vision of his right eye.He was dis-charged after sixty days.He did not have any immunosuppressive underlying disease including HIV infection and diabetes mellitus which cause these lesions.

Journal

• Kansenshogaku Zasshi

  Kansenshogaku Zasshi 73 (9), 935-938, 1999

  The Japanese Association for Infectious Diseases

Keywords

• liver abscess
• endophthalmitis
• Klebsiella pneumoniae

Details

• CRID: 1390282680024722688
• NII Article ID: 130004330811
• NII Article ID: 10008716504
• NII Book ID: AN00047715
• DOI: 10.11150/kansenshogakuzasshi1970.73.935
• ISSN: 1884569X
• ISSN: 03875911
• PubMed: 10535270
• Web Site: https://search.jamas.or.jp/link/ui/2000024815
• Data Source:
  • JaLC
  • Crossref
  • PubMed
  • CiNii Articles
• Abstract License Flag: Disallowed