Liver abscess caused by Klebsiella pneumoniae associated with endophthalmitis

Abstract

Klebsiella pneumoniae is a gram-negative pathogen that can cause severe infections including pyogenic liver abscess which has other metastatic septic complications. One of them is Endogenous Endophthalmitis (EE), particularly caused by Klebsiella pneumoniae is associated with serious sequelae and morbidity. We report the case of a middle-aged male with Klebsiella pneumoniae EE in whom a later liver abscess was found on ultrasound. Even though early suspicion was raised and both intravitreal and systemic antibiotics were given even before liver abscess was found as the source of EE, unfortunately, the patient later developed right eye perforation and evisceration was performed. A high index of suspicion for liver abscess should be entertained in patients presented with ocular symptoms along with fever and high CRP to establish an early diagnosis to prevent its dire consequences. Citation: Lee WJ, Mazlan MZJ. Liver abscess caused by Klebsiella pneumoniae associated with endophthalmitis. Anaesth. pain intensive care 2022;26(5):720−722; DOI: 10.35975/apic.v26i5.2013