Septic endophthalmitis and meningitis associated with Klebsiella pneumoniae liver abscess
Septic endophthalmitis and meningitis associated with Klebsiella pneumoniae liver abscess
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DOI：
10.1016/s1386-6346(01)00153-x
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发表时间：
2002-04-01
影响因子：
4.2
通讯作者：
Nakano, T
中科院分区：
文献类型：
--
作者：
Ohmori, S;Shiraki, K;Nakano, T
我们报告一位女性化脓性眼内炎和脑膜炎合并肺炎克雷伯菌肝脓肿，被认为是由胆总管十二指肠吻合术相关的十二指肠胆管返流引起的。我们通过超声引导下经皮脓肿引流和静脉注射第三代抗生素治疗了这位患者。然而，她的左眼最终失去了视觉功能。肝脓肿合并转移性病变的报道很少见，我们的经验表明，更多的医生应该警惕感染性转移性病变，如肺炎克雷伯菌肝脓肿或菌血症，并有眼部或中枢神经系统症状的主诉。(C)2002 Elsevier Science B.V.保留所有权利。
We report a female case of septic endophthalmitis and meningitis associated with Klebsiella pneumoniae liver abscess which was thought to be caused by duodeno-biliary reflux related to choledochoduodenostomy. We treated this patient by ultrasonography-guided percutaneous abscess drainage and intravenous administration of third generation antibiotics. However, the visual function of her left eye was eventually lost. Reports of liver abscess with metastatic lesions are rare, and our experience suggests that more physicians should be alert to septic metastatic lesions such as K. pneumoniae liver abscess or bacteremia with complaints of ocular or central nervous system symptoms. (C) 2002 Elsevier Science B.V. All rights reserved.