A Case of a Large Sub-retinal Abscess Secondary to Klebsiella pneumoniae Endophthalmitis in a Pyelonephritis Patient

Endogenous endophthalmitis is an ocular emergency, with severe sight-threatening complications. We report a case of unilateral endogenous Klebsiella pneumonia endophthalmitis with a large sub-retinal abscess in a 39-year-old lady that developed four days after presentation with sepsis secondary to u...

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Autores principales: Mohd-Ilham, Ismail, Zulkifli, Mustaqim, Yaakub, Maizan, Muda, Rosiah, Shatriah, Ismail
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Ophthalmology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6625674/
https://www.ncbi.nlm.nih.gov/pubmed/31316877
http://dx.doi.org/10.7759/cureus.4656
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author Mohd-Ilham, Ismail
Zulkifli, Mustaqim
Yaakub, Maizan
Muda, Rosiah
Shatriah, Ismail
author_facet Mohd-Ilham, Ismail
Zulkifli, Mustaqim
Yaakub, Maizan
Muda, Rosiah
Shatriah, Ismail
author_sort Mohd-Ilham, Ismail
collection PubMed
description Endogenous endophthalmitis is an ocular emergency, with severe sight-threatening complications. We report a case of unilateral endogenous Klebsiella pneumonia endophthalmitis with a large sub-retinal abscess in a 39-year-old lady that developed four days after presentation with sepsis secondary to urinary tract infections and pyelonephritis. Despite immediate treatment with intravenous (IV) and intravitreal antibiotics, her eye condition deteriorated. A pars plana vitrectomy was performed, and the sub-retinal abscess was removed, followed by silicone oil tamponade. Subsequently, she regained her vision to 6/36 with complete regression of the intraocular inflammation and sub-retinal abscess.
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spelling pubmed-66256742019-07-17 A Case of a Large Sub-retinal Abscess Secondary to Klebsiella pneumoniae Endophthalmitis in a Pyelonephritis Patient Mohd-Ilham, Ismail Zulkifli, Mustaqim Yaakub, Maizan Muda, Rosiah Shatriah, Ismail Cureus Ophthalmology Endogenous endophthalmitis is an ocular emergency, with severe sight-threatening complications. We report a case of unilateral endogenous Klebsiella pneumonia endophthalmitis with a large sub-retinal abscess in a 39-year-old lady that developed four days after presentation with sepsis secondary to urinary tract infections and pyelonephritis. Despite immediate treatment with intravenous (IV) and intravitreal antibiotics, her eye condition deteriorated. A pars plana vitrectomy was performed, and the sub-retinal abscess was removed, followed by silicone oil tamponade. Subsequently, she regained her vision to 6/36 with complete regression of the intraocular inflammation and sub-retinal abscess. Cureus 2019-05-14 /pmc/articles/PMC6625674/ /pubmed/31316877 http://dx.doi.org/10.7759/cureus.4656 Text en Copyright © 2019, Mohd-Ilham et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Ophthalmology
Mohd-Ilham, Ismail
Zulkifli, Mustaqim
Yaakub, Maizan
Muda, Rosiah
Shatriah, Ismail
A Case of a Large Sub-retinal Abscess Secondary to Klebsiella pneumoniae Endophthalmitis in a Pyelonephritis Patient
title A Case of a Large Sub-retinal Abscess Secondary to Klebsiella pneumoniae Endophthalmitis in a Pyelonephritis Patient
title_full A Case of a Large Sub-retinal Abscess Secondary to Klebsiella pneumoniae Endophthalmitis in a Pyelonephritis Patient
title_fullStr A Case of a Large Sub-retinal Abscess Secondary to Klebsiella pneumoniae Endophthalmitis in a Pyelonephritis Patient
title_full_unstemmed A Case of a Large Sub-retinal Abscess Secondary to Klebsiella pneumoniae Endophthalmitis in a Pyelonephritis Patient
title_short A Case of a Large Sub-retinal Abscess Secondary to Klebsiella pneumoniae Endophthalmitis in a Pyelonephritis Patient
title_sort case of a large sub-retinal abscess secondary to klebsiella pneumoniae endophthalmitis in a pyelonephritis patient
topic Ophthalmology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6625674/
https://www.ncbi.nlm.nih.gov/pubmed/31316877
http://dx.doi.org/10.7759/cureus.4656
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