Endogenous Endophthalmitis and Liver Abscess: A Metastatic Infection or a Coincidence?
Autor(a) principal: | |
---|---|
Data de Publicação: | 2022 |
Outros Autores: | , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452022000600056 |
Resumo: | Abstract Klebsiella pneumoniae is a gram-negative pathogen that is a common cause of severe infections, including pyogenic liver abscess. Dissemination of K. pneumoniae to other organs, including the eye, is associated with significant morbidity and mortality. In the particular case of endogenous endophthalmitis (EE) by K. pneumoniae the prognosis is poor. We report the case of a middle-aged female with K. pneumoniae liver abscess. The patient developed metastatic endophthalmitis that was aggressively treated with systemic antibiotics. The liver abscess resolved with antimicrobials and percutaneous transhepatic drainage, but regarding the endophthalmitis she was discharged from our hospital without recovery of her eyesight. Metastatic spread to the eye should be considered in all patients with liver abscesses who experience ocular signs and symptoms in order to establish a timely diagnosis of EE. |
id |
RCAP_1a14f2f18e680c2a6fbb1d31550411d8 |
---|---|
oai_identifier_str |
oai:scielo:S2341-45452022000600056 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Endogenous Endophthalmitis and Liver Abscess: A Metastatic Infection or a Coincidence?Endogenous endophthalmitisPyogenic liver abscessPercutaneous drainageKlebsiella pneumoniaeAbstract Klebsiella pneumoniae is a gram-negative pathogen that is a common cause of severe infections, including pyogenic liver abscess. Dissemination of K. pneumoniae to other organs, including the eye, is associated with significant morbidity and mortality. In the particular case of endogenous endophthalmitis (EE) by K. pneumoniae the prognosis is poor. We report the case of a middle-aged female with K. pneumoniae liver abscess. The patient developed metastatic endophthalmitis that was aggressively treated with systemic antibiotics. The liver abscess resolved with antimicrobials and percutaneous transhepatic drainage, but regarding the endophthalmitis she was discharged from our hospital without recovery of her eyesight. Metastatic spread to the eye should be considered in all patients with liver abscesses who experience ocular signs and symptoms in order to establish a timely diagnosis of EE.Sociedade Portuguesa de Gastrenterologia2022-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452022000600056GE-Portuguese Journal of Gastroenterology v.29 n.6 2022reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452022000600056Correia,CatarinaLopes,SandraMendes,SofiaAlmeida,NunoFigueiredo,Pedroinfo:eu-repo/semantics/openAccess2024-02-06T17:34:21Zoai:scielo:S2341-45452022000600056Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:36:19.875023Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Endogenous Endophthalmitis and Liver Abscess: A Metastatic Infection or a Coincidence? |
title |
Endogenous Endophthalmitis and Liver Abscess: A Metastatic Infection or a Coincidence? |
spellingShingle |
Endogenous Endophthalmitis and Liver Abscess: A Metastatic Infection or a Coincidence? Correia,Catarina Endogenous endophthalmitis Pyogenic liver abscess Percutaneous drainage Klebsiella pneumoniae |
title_short |
Endogenous Endophthalmitis and Liver Abscess: A Metastatic Infection or a Coincidence? |
title_full |
Endogenous Endophthalmitis and Liver Abscess: A Metastatic Infection or a Coincidence? |
title_fullStr |
Endogenous Endophthalmitis and Liver Abscess: A Metastatic Infection or a Coincidence? |
title_full_unstemmed |
Endogenous Endophthalmitis and Liver Abscess: A Metastatic Infection or a Coincidence? |
title_sort |
Endogenous Endophthalmitis and Liver Abscess: A Metastatic Infection or a Coincidence? |
author |
Correia,Catarina |
author_facet |
Correia,Catarina Lopes,Sandra Mendes,Sofia Almeida,Nuno Figueiredo,Pedro |
author_role |
author |
author2 |
Lopes,Sandra Mendes,Sofia Almeida,Nuno Figueiredo,Pedro |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Correia,Catarina Lopes,Sandra Mendes,Sofia Almeida,Nuno Figueiredo,Pedro |
dc.subject.por.fl_str_mv |
Endogenous endophthalmitis Pyogenic liver abscess Percutaneous drainage Klebsiella pneumoniae |
topic |
Endogenous endophthalmitis Pyogenic liver abscess Percutaneous drainage Klebsiella pneumoniae |
description |
Abstract Klebsiella pneumoniae is a gram-negative pathogen that is a common cause of severe infections, including pyogenic liver abscess. Dissemination of K. pneumoniae to other organs, including the eye, is associated with significant morbidity and mortality. In the particular case of endogenous endophthalmitis (EE) by K. pneumoniae the prognosis is poor. We report the case of a middle-aged female with K. pneumoniae liver abscess. The patient developed metastatic endophthalmitis that was aggressively treated with systemic antibiotics. The liver abscess resolved with antimicrobials and percutaneous transhepatic drainage, but regarding the endophthalmitis she was discharged from our hospital without recovery of her eyesight. Metastatic spread to the eye should be considered in all patients with liver abscesses who experience ocular signs and symptoms in order to establish a timely diagnosis of EE. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-12-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452022000600056 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452022000600056 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452022000600056 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Gastrenterologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Gastrenterologia |
dc.source.none.fl_str_mv |
GE-Portuguese Journal of Gastroenterology v.29 n.6 2022 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799137415271546880 |