Kansenshogaku Zasshi
Online ISSN : 1884-569X
Print ISSN : 0387-5911
ISSN-L : 0387-5911
A Case of Endophthalmitis and Abscesses in the Liver and the Lung Caused byKlebsiella Pneumoniae
Toshio NAITOTakahiro KAWAKAMIMitsuhiko TSUDATsukasa EBESakae SEKIYAHiroshi ISONUMATakao MATSUMOTOKazuyoshi WATANABE
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1999 Volume 73 Issue 9 Pages 935-938

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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.

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© The Japansese Association for Infectious Diseases
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