[Endogenous Klebsiella pneumoniae endophthalmitis secondary to a renal abscess: a case report]

A Deryckère1, C Cros, G Besombes

  • 1Service d'Ophtalmologie, CHU Lille, Hôpital Huriez, Lille. am.deryckere@gmail.com

Insights

An 86-year-old man experienced unilateral panuveitis and a retinal infection, later diagnosed as endogenous endophthalmitis. A kidney abscess caused by Klebsiella pneumoniae was identified as the source, highlighting the need for etiological assessment in such cases.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Nephrology

Background:

  • Unilateral panuveitis can present with infectious retinal foci.
  • Endogenous endophthalmitis with subretinal abscess requires thorough etiological investigation.

Observation:

  • An 86-year-old male presented with unilateral panuveitis and a suspected infectious retinal focus.
  • Diagnostic workup, including CT scan and abscess aspiration, revealed a concurrent renal abscess.

Findings:

  • The renal abscess was confirmed to be caused by Klebsiella pneumoniae.
  • Vitrectomy samples also identified Klebsiella pneumoniae, confirming the source of infection.

Implications:

  • Prompt etiological assessment is crucial for managing infectious panuveitis.
  • Identifying the source, such as a renal abscess, significantly impacts visual outcome and treatment strategies.

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