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A Klebsiella pneumoniae liver abscess with endophthalmitis in a diabetic man with gallstones

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Title: A Klebsiella pneumoniae liver abscess with endophthalmitis in a diabetic man with gallstones
Authors: David, M
Pouncey, A
Habal, S
Kerwat, R
Item Type: Journal Article
Abstract: Invasive liver abscess syndrome (ILAS) is caused by Klebsiella pneumoniae and is typically seen in people from East Asia, often with diabetes and gallstones. ILAS includes metastatic sequalae of the infection, commonly to the eyes. The case described below occurred in a London hospital. The patient’s abscess was diagnosed on CT and MRI imaging and he developed endophthalmitis secondary to metastatic spread of the infection. He was treated with intravenous and intravitreal antibiotics and discharged with a plan for vitrectomy and cholecystectomy as an outpatient. We discuss the epidemiology, risk factors, pathogenesis, prognosis and management of this rare condition. There have been a number of recent reports of cases of this nature outside of Asia and we believe greater awareness is required. A high index of suspicion should be held for the potential development of metastases in patients of this demographic presenting with abscesses of this nature.
Issue Date: 26-Feb-2021
Date of Acceptance: 27-Jan-2021
URI: http://hdl.handle.net/10044/1/87529
DOI: 10.1136/bcr-2020-239835
ISSN: 1757-790X
Publisher: BMJ Publishing Group
Journal / Book Title: BMJ Case Reports
Volume: 14
Issue: 2
Copyright Statement: © BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.
Keywords: 1103 Clinical Sciences
Publication Status: Published
Appears in Collections:Department of Surgery and Cancer
Faculty of Medicine
Department of Brain Sciences