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.
机构:
Univ Oklahoma, Hlth Sci Ctr, Dept Microbiol & Immunol, Oklahoma City, OK 73104 USAUniv Oklahoma, Hlth Sci Ctr, Dept Ophthalmol, Oklahoma City, OK 73104 USA
Hunt, Jonathan J.
Wang, Jin-Town
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Natl Taiwan Univ, Coll Med, Dept Microbiol, Taipei 10764, TaiwanUniv Oklahoma, Hlth Sci Ctr, Dept Ophthalmol, Oklahoma City, OK 73104 USA
Wang, Jin-Town
Callegan, Michelle C.
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机构:
Univ Oklahoma, Hlth Sci Ctr, Dept Ophthalmol, Oklahoma City, OK 73104 USA
Univ Oklahoma, Hlth Sci Ctr, Dept Microbiol & Immunol, Oklahoma City, OK 73104 USA
Dean A McGee Eye Inst, Oklahoma City, OK USAUniv Oklahoma, Hlth Sci Ctr, Dept Ophthalmol, Oklahoma City, OK 73104 USA
机构:
St Thomas Hosp, Rayne Inst, Acad Dept Ophthalmol, Med Eye Unit, London SE1 7EH, EnglandSt Thomas Hosp, Rayne Inst, Acad Dept Ophthalmol, Med Eye Unit, London SE1 7EH, England
Jackson, TL
Eykyn, SJ
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机构:St Thomas Hosp, Rayne Inst, Acad Dept Ophthalmol, Med Eye Unit, London SE1 7EH, England
Eykyn, SJ
Graham, EM
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机构:St Thomas Hosp, Rayne Inst, Acad Dept Ophthalmol, Med Eye Unit, London SE1 7EH, England
Graham, EM
Stanford, MR
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机构:St Thomas Hosp, Rayne Inst, Acad Dept Ophthalmol, Med Eye Unit, London SE1 7EH, England
机构:
Department of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 BruxellesDepartment of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 Bruxelles
Karama E.M.
Willermain F.
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h-index: 0
机构:
Department of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 BruxellesDepartment of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 Bruxelles
Willermain F.
Janssens X.
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h-index: 0
机构:
Department of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 BruxellesDepartment of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 Bruxelles
Janssens X.
Claus M.
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h-index: 0
机构:
Intensive Care Unit, CHU St-Pierre, Université Libre de Bruxelles, 1000 BruxellesDepartment of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 Bruxelles
Claus M.
Van Den Wijngaert S.
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机构:
Department of Microbiology, CHU St-Pierre, Université Libre de Bruxelles, 1000 BruxellesDepartment of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 Bruxelles
Van Den Wijngaert S.
Wang J.-T.
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机构:
Department of Microbiology, National Taiwan University College of Medicine, TaipeiDepartment of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 Bruxelles
Wang J.-T.
Verougstraete C.
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h-index: 0
机构:
Department of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 BruxellesDepartment of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 Bruxelles
Verougstraete C.
Caspers L.
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h-index: 0
机构:
Department of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 BruxellesDepartment of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 Bruxelles
机构:
Univ Oklahoma, Hlth Sci Ctr, Dept Microbiol & Immunol, Oklahoma City, OK 73104 USAUniv Oklahoma, Hlth Sci Ctr, Dept Ophthalmol, Oklahoma City, OK 73104 USA
Hunt, Jonathan J.
Wang, Jin-Town
论文数: 0引用数: 0
h-index: 0
机构:
Natl Taiwan Univ, Coll Med, Dept Microbiol, Taipei 10764, TaiwanUniv Oklahoma, Hlth Sci Ctr, Dept Ophthalmol, Oklahoma City, OK 73104 USA
Wang, Jin-Town
Callegan, Michelle C.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Oklahoma, Hlth Sci Ctr, Dept Ophthalmol, Oklahoma City, OK 73104 USA
Univ Oklahoma, Hlth Sci Ctr, Dept Microbiol & Immunol, Oklahoma City, OK 73104 USA
Dean A McGee Eye Inst, Oklahoma City, OK USAUniv Oklahoma, Hlth Sci Ctr, Dept Ophthalmol, Oklahoma City, OK 73104 USA
机构:
St Thomas Hosp, Rayne Inst, Acad Dept Ophthalmol, Med Eye Unit, London SE1 7EH, EnglandSt Thomas Hosp, Rayne Inst, Acad Dept Ophthalmol, Med Eye Unit, London SE1 7EH, England
Jackson, TL
Eykyn, SJ
论文数: 0引用数: 0
h-index: 0
机构:St Thomas Hosp, Rayne Inst, Acad Dept Ophthalmol, Med Eye Unit, London SE1 7EH, England
Eykyn, SJ
Graham, EM
论文数: 0引用数: 0
h-index: 0
机构:St Thomas Hosp, Rayne Inst, Acad Dept Ophthalmol, Med Eye Unit, London SE1 7EH, England
Graham, EM
Stanford, MR
论文数: 0引用数: 0
h-index: 0
机构:St Thomas Hosp, Rayne Inst, Acad Dept Ophthalmol, Med Eye Unit, London SE1 7EH, England
机构:
Department of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 BruxellesDepartment of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 Bruxelles
Karama E.M.
Willermain F.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 BruxellesDepartment of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 Bruxelles
Willermain F.
Janssens X.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 BruxellesDepartment of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 Bruxelles
Janssens X.
Claus M.
论文数: 0引用数: 0
h-index: 0
机构:
Intensive Care Unit, CHU St-Pierre, Université Libre de Bruxelles, 1000 BruxellesDepartment of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 Bruxelles
Claus M.
Van Den Wijngaert S.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Microbiology, CHU St-Pierre, Université Libre de Bruxelles, 1000 BruxellesDepartment of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 Bruxelles
Van Den Wijngaert S.
Wang J.-T.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Microbiology, National Taiwan University College of Medicine, TaipeiDepartment of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 Bruxelles
Wang J.-T.
Verougstraete C.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 BruxellesDepartment of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 Bruxelles
Verougstraete C.
Caspers L.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 BruxellesDepartment of Ophthalmology, CHU St-Pierre and Brugmann, Université Libre de Bruxelles, 1000 Bruxelles