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Severe Retinal Necrosis Due to Klebsiella pneumoniae After Acute Prostatitis

Filippo Confalonieri1,2,3, Boža Gorenjak de Souza4, Goran Petrovski1,2,5

  • 1Department of Ophthalmology, Oslo University Hospital, Oslo, Norway.

The American Journal of Case Reports
|October 19, 2022
PubMed

Insights

A rare case of Klebsiella pneumoniae endophthalmitis caused severe vision loss. Prompt pars plana vitrectomy (PPV) and a second PPV with silicone oil tamponade helped preserve vision in this patient.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Microbiology

Background:

  • Reports a rare case of unilateral Klebsiella pneumoniae endogenous endophthalmitis with retinal necrosis.
  • The condition was secondary to acute prostatitis in a 72-year-old immunocompetent male.

Observation:

  • Patient presented with fever, gastrointestinal, and genitourinary symptoms, diagnosed with acute prostatitis.
  • Developed sudden vision loss in the right eye, diagnosed as endophthalmitis.
  • Retinal examination revealed ischemia, vasculitis, and necrosis.

Findings:

  • Vitreous samples confirmed Klebsiella pneumoniae infection.
  • Initial pars plana vitrectomy (PPV) with intravitreal antibiotics was performed.
  • Developed rhegmatogenous retinal detachment, requiring a second PPV with silicone oil tamponade.

Implications:

  • Klebsiella pneumoniae can be an aggressive pathogen causing retinal necrosis and vision loss.
  • Early PPV can preserve some vision.
  • A second PPV with silicone oil tamponade can be an effective therapeutic solution.

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