Abstract
A 39-year-old man with pyogenic liver abscess had bilateral endogenous Klebsiella pneumoniae endophthalmitis. At presentation, the left eye had a localized subretinal abscess. Despite repeated intravitreal amikacin and dexamethasone injections, a subretinal abscess spread and detached all of the retina. Pars plana vitrectomy with drainage of the subretinal abscess was performed. The retina was reattached, and the patient had 5/200 vision 5 months postoperatively. Early vitrectomy with drainage of the subretinal abscess may save some eyes with endogenous Klebsiella pneumoniae endophthalmitis.
MeSH terms
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Abscess / microbiology
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Abscess / pathology
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Abscess / surgery*
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Adult
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Anti-Bacterial Agents
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Drainage
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Drug Therapy, Combination / therapeutic use
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Endophthalmitis / microbiology
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Endophthalmitis / pathology
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Endophthalmitis / surgery*
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Follow-Up Studies
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Humans
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Klebsiella Infections / etiology
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Klebsiella Infections / pathology
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Klebsiella Infections / surgery*
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Klebsiella pneumoniae / isolation & purification*
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Liver Abscess / complications
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Liver Abscess / drug therapy
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Liver Abscess / microbiology
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Male
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Retinal Detachment / diagnostic imaging
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Retinal Detachment / etiology
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Retinal Detachment / surgery
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Retinal Diseases / microbiology
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Retinal Diseases / pathology
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Retinal Diseases / surgery*
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Ultrasonography
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Visual Acuity
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Visual Fields
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Vitrectomy*