Related Experiment Videos
Endogenous Klebsiella pneumoniae endophthalmitis associated with prostate abscess: case report
L H Chuang1, H S Song, S C Lee
1Department of Ophthalmology, Chang Gung Memorial Hospital, Keelung, R.O.C.
Abstract:
A young alcoholic and heavy smoker was admitted because of Klebsiella pneumoniae bacteremia. The abdominal and pelvic computed tomography with enhancement revealed an abscess in the right prostate. He experienced blurred vision of his left eye on the third day during admission. Initial ocular examination revealed mild reaction in the anterior chamber and vitreous as well as multiple Roth's spots in the retina. The administration of empirical antibiotics including cefazolin and gentamicin intravenously was changed to ceftriaxone and amikacin after ophthalmologic consultation. After parenteral antibiotics for 3 weeks, the systemic condition was controlled, and the vision remained stable. During the past decades, many cases of endogenous Klebsiella pneumoniae endophthalmitis associated with liver abscess were reported in Taiwan. However, documented reports of this condition associated with a prostate abscess are rare. This case, classified as posterior focal endogenous endophthalmitis, had good prognosis under appropriate antibiotic treatment. Early diagnosis and prompt therapy are important for control of sepsis and restoration of vision.
Insights
Klebsiella pneumoniae bacteremia can lead to prostate abscess and vision loss from endogenous endophthalmitis. Prompt antibiotic treatment is crucial for recovery and vision restoration.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Urology
Background:
- Klebsiella pneumoniae bacteremia is a serious condition.
- Endogenous endophthalmitis is a rare but severe complication of bacteremia.
- Prostate abscesses are an uncommon source for endogenous endophthalmitis.
Observation:
- A young, alcoholic, heavy-smoking male presented with Klebsiella pneumoniae bacteremia.
- Computed tomography revealed a prostate abscess.
- The patient developed blurred vision and signs of endophthalmitis, including Roth's spots.
Findings:
- The patient was diagnosed with posterior focal endogenous endophthalmitis secondary to a prostate abscess.
- Treatment involved a change in intravenous antibiotics (ceftriaxone and amikacin).
- Systemic condition and vision stabilized after three weeks of parenteral antibiotics.
Implications:
- This case highlights the rare association between prostate abscess and Klebsiella pneumoniae endophthalmitis.
- Early diagnosis and prompt antibiotic therapy are essential for managing this condition.
- Successful treatment can lead to good visual prognosis and sepsis control.