Case Reports
Klebsiella pneumoniae Endophthalmitis Secondary to Liver Abscess Presenting as Acute Iridocyclitis

Daniel Dodson, MD; Richard Stewart, MD; Zeynel Karcioglu, MD; Mandi D. Conway, MD; David Mushatt, MD, MPHTM and Ramesh S. Ayyala, MD, FRCS, FRCOphth

ABSTRACT

A 51-year-old man presented with acute iridocyclitis with no evidence of vitritis on B-scan that progressed to endogenous endophthalmitis. Systemic work-up revealed a large liver abscess. Urine, blood, liver abscess, and vitreous aspirate cultures all grew Klebsiella pneumoniae. The eye was enucleated secondary to severe pain from neovascular glaucoma and loss of vision. [Ophthalmic Surg Lasers Imaging 2009;40:522-523.]

AUTHORS

From the Departments of Ophthalmology (DD, ZK, MDC, RSA) and Adult Infectious Diseases (RS, DM), Tulane University Health Sciences Center, New Orleans, Louisiana.

Accepted for publication September 3, 2008.

Supported by the Tulane Glaucoma Research Fund.

The authors have no financial or proprietary interests in the materials presented herein.

Address correspondence to Ramesh S. Ayyala, MD, FRCS, FRCOphth, Department of Ophthalmology SL-69, Tulane University Health Sciences Center, 1430 Tulane Avenue, New Orleans, LA 70112-2699.

doi: 10.3928/15428877-20090901-17