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Intravitreal Injection and Quantitation of Infection Parameters in a Mouse Model of Bacterial Endophthalmitis
Published on: February 6, 2021
[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
Abstract:
We report the case of an 86-year-old man with unilateral panuveitis concurrent with an infectious retinal focus. The diagnosis of endogenous endophthalmitis with subretinal abscess was suggested. The biology workup and CT scan showed a renal abscess. This was caused by Klebsiella pneumoniae, which was confirmed by analysis of abscess aspiration and vitrectomy samples. This paper underscores the importance of etiological assessment in infectious panuveitis and the consequences on visual outcome.
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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