Rare case of endogenous Klebsiella endophthalmitis associated with emphysematous prostatitis in a patient with diabetes, cirrhosis and COVID-19

A 35-year-old Hispanic man presented with fever, chills, dysuria, diarrhoea, scleral icterus, tachycardia and tachypnea. He was found to be COVID-19 positive, CT of the pelvis revealed prostatic abscess, and urine culture grew Klebsiella pneumoniae. Additionally, he was found to have diabetes and ci...

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Autores principales: Crane, Alexander B, Abreu Diaz, Monica C, Jiang, Yi, Pergament, Kathleen Mangunay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8061843/
https://www.ncbi.nlm.nih.gov/pubmed/33883113
http://dx.doi.org/10.1136/bcr-2020-240425
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author Crane, Alexander B
Abreu Diaz, Monica C
Jiang, Yi
Pergament, Kathleen Mangunay
author_facet Crane, Alexander B
Abreu Diaz, Monica C
Jiang, Yi
Pergament, Kathleen Mangunay
author_sort Crane, Alexander B
collection PubMed
description A 35-year-old Hispanic man presented with fever, chills, dysuria, diarrhoea, scleral icterus, tachycardia and tachypnea. He was found to be COVID-19 positive, CT of the pelvis revealed prostatic abscess, and urine culture grew Klebsiella pneumoniae. Additionally, he was found to have diabetes and cirrhosis. During treatment, the patient developed vision loss, and was diagnosed with endogenous Klebsiella endophthalmitis. The patient was treated with intravenous antibiotics, pars plana vitrectomy, intravitreal antibiotics and cystoscopy/suprapubic catheter placement. On follow-up, the patient has had the suprapubic catheter removed, and successfully passed a voiding trial, but suffers permanent vision loss in both eyes.
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spelling pubmed-80618432021-05-11 Rare case of endogenous Klebsiella endophthalmitis associated with emphysematous prostatitis in a patient with diabetes, cirrhosis and COVID-19 Crane, Alexander B Abreu Diaz, Monica C Jiang, Yi Pergament, Kathleen Mangunay BMJ Case Rep Case Report A 35-year-old Hispanic man presented with fever, chills, dysuria, diarrhoea, scleral icterus, tachycardia and tachypnea. He was found to be COVID-19 positive, CT of the pelvis revealed prostatic abscess, and urine culture grew Klebsiella pneumoniae. Additionally, he was found to have diabetes and cirrhosis. During treatment, the patient developed vision loss, and was diagnosed with endogenous Klebsiella endophthalmitis. The patient was treated with intravenous antibiotics, pars plana vitrectomy, intravitreal antibiotics and cystoscopy/suprapubic catheter placement. On follow-up, the patient has had the suprapubic catheter removed, and successfully passed a voiding trial, but suffers permanent vision loss in both eyes. BMJ Publishing Group 2021-04-21 /pmc/articles/PMC8061843/ /pubmed/33883113 http://dx.doi.org/10.1136/bcr-2020-240425 Text en © BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ. https://bmj.com/coronavirus/usageThis article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.
spellingShingle Case Report
Crane, Alexander B
Abreu Diaz, Monica C
Jiang, Yi
Pergament, Kathleen Mangunay
Rare case of endogenous Klebsiella endophthalmitis associated with emphysematous prostatitis in a patient with diabetes, cirrhosis and COVID-19
title Rare case of endogenous Klebsiella endophthalmitis associated with emphysematous prostatitis in a patient with diabetes, cirrhosis and COVID-19
title_full Rare case of endogenous Klebsiella endophthalmitis associated with emphysematous prostatitis in a patient with diabetes, cirrhosis and COVID-19
title_fullStr Rare case of endogenous Klebsiella endophthalmitis associated with emphysematous prostatitis in a patient with diabetes, cirrhosis and COVID-19
title_full_unstemmed Rare case of endogenous Klebsiella endophthalmitis associated with emphysematous prostatitis in a patient with diabetes, cirrhosis and COVID-19
title_short Rare case of endogenous Klebsiella endophthalmitis associated with emphysematous prostatitis in a patient with diabetes, cirrhosis and COVID-19
title_sort rare case of endogenous klebsiella endophthalmitis associated with emphysematous prostatitis in a patient with diabetes, cirrhosis and covid-19
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8061843/
https://www.ncbi.nlm.nih.gov/pubmed/33883113
http://dx.doi.org/10.1136/bcr-2020-240425
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