Case of endogenous endophthalmitis caused by Klebsiella pneumoniae with magA and rmpA genes in an immunocompetent patient

被引:10
作者
Sawada, Akira [1 ]
Komori, Shinya [1 ]
Udo, Kazunari [1 ]
Suemori, Shinsuke [1 ]
Mochizuki, Kiyofumi [1 ]
Yasuda, Mitsuru [2 ]
Ohkusu, Kiyofumi [3 ]
机构
[1] Gifu Univ, Grad Sch Med, Dept Ophthalmol, Gifu 5011194, Japan
[2] Gifu Univ, Grad Sch Med, Dept Urol, Gifu 5011194, Japan
[3] Gifu Univ, Grad Sch Med, Dept Microbiol, Gifu 5011194, Japan
关键词
Endogenous endophthalmitis; Klebsiella pneumoniae; Acute epididymitis; magA; rmpA; PYOGENIC LIVER-ABSCESS; BACTERIAL ENDOPHTHALMITIS; SEROTYPE K1; CLINICAL-FEATURES; EXPERIENCE; VIRULENCE; TAIWAN; K2;
D O I
10.1007/s10156-012-0468-6
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
We report a case of endogenous endophthalmitis caused by Klebsiella pneumoniae in an immunocompetent patient. A 73-year-old man with acute epididymitis who had no history of diabetes mellitus developed endogenous endophthalmitis. The patient underwent anterior vitrectomy and intracapsular cataract extraction with intravitreal injections of both vancomycin and ceftazidime. After the surgery, he was treated with topical and intravenous antibiotics; however, the left eye perforated and was enucleated. Culture from vitreous biopsy specimens grew as K. pneumoniae, which was positive for both magA and rmpA. K. pneumoniae should be considered as a pathogen that can cause severe endogenous endophthalmitis in patients with urinary tract infection. The severity of the disease may be related to the virulence genes.
引用
收藏
页码:326 / 329
页数:4
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