METASTATIC SEPTIC ENDOPHTHALMITIS IN PYOGENIC LIVER-ABSCESS
METASTATIC SEPTIC ENDOPHTHALMITIS IN PYOGENIC LIVER-ABSCESS
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DOI：
10.1097/00004836-198810000-00009
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发表时间：
1988-10-01
影响因子：
2.9
通讯作者：
LIAW, YF
中科院分区：
文献类型：
--
作者：
CHIU, CT;LIN, DY;LIAW, YF
在一系列连续的180例化脓性肝脓肿患者中，有三名患者(两男一女，年龄在46-75岁之间)患有转移性克雷伯氏菌眼内炎。转移性眼内炎发生率分别为：化脓性肝脓肿1.7%，克雷伯菌肝脓肿5.2%，克雷伯菌菌血症7.8%。尽管采取了积极的治疗措施，这两名男子还是永久性地失去了视力，这名女子最终需要摘除她的右眼。认识和/或治疗的延迟以及细菌的性质可能是造成这一悲惨结果的原因之一。研究结果表明，高度怀疑是至关重要的，内科医生和眼科医生的共同努力是强制性的。
In a consecutive series of 180 patients with pyogenic liver abscess, three patients (two men and one woman, between 46 and 75 years of age) had metastatic Klebsiella endophthalmitis. The incidence of metastatic endophthalmitis was 1.7% in patients with pyogenic liver abscess, 5.2% in patients with Klebsiella liver abscess, and 7.8% in patients with Klebsiella liver abscess having Klebsiella bacteremia. Despite aggressive therapeutic measures, the men permanently lost their vision and the woman eventually required an evisceration of her right eye. Delayed recognition and/or treatment as well as the nature of bacteria probably contributed to the tragic outcome. The findings suggest that a high index of suspicion is critical and a combined effort of the internist and ophthalmologist is mandatory.