Keeping an eye out for Klebsiella endopthalmitis: Klebsiella pneumoniae invasive liver abscess syndrome

Hypervirulent Klebsiella pneumoniae strain is a major cause of liver abscess and this bacteria has metastatic properties. This distinct liver abscess syndrome has been increasingly reported in Asia over the past two decades, but is emerging as a global disease. We described an 81-year-old lady, who...

Full description

Bibliographic Details
Main Authors: Jia, Ying S, Ian, Chik, Azlanudin A, Zamri Zainal, Hairol O
Format: Article
Language:English
Published: Pusat Perubatan Universiti Kebangsaan Malaysia 2018
Online Access:http://journalarticle.ukm.my/12567/
http://journalarticle.ukm.my/12567/1/8.jia_ying_s_et_al.pdf
_version_ 1848813036793495552
author Jia, Ying S
Ian, Chik
Azlanudin A,
Zamri Zainal,
Hairol O,
author_facet Jia, Ying S
Ian, Chik
Azlanudin A,
Zamri Zainal,
Hairol O,
author_sort Jia, Ying S
building UKM Institutional Repository
collection Online Access
description Hypervirulent Klebsiella pneumoniae strain is a major cause of liver abscess and this bacteria has metastatic properties. This distinct liver abscess syndrome has been increasingly reported in Asia over the past two decades, but is emerging as a global disease. We described an 81-year-old lady, who presented to the emergency department with 1-week prior duration of fever and right eye swelling. She had been admitted for recurrent liver abscess prior to this. Hence, she was initially treated as sepsis secondary to recurrent liver abscess. Meanwhile, she was managed concurrently by ophthalmology team for endophtalmitis. Despite the initiation of treatment with antibiotics, she did not show any improvement and required right eye evisceration to treat the sepsis. Invasive liver abscess syndrome with metastatic endophthalmitis should be screened in patient with Klebsiella liver abscess. They should be monitored for ocular symptoms as early recognition can prohibit delays in treatment, which has debilitating consequences.
first_indexed 2025-11-15T00:11:48Z
format Article
id oai:generic.eprints.org:12567
institution Universiti Kebangasaan Malaysia
institution_category Local University
language English
last_indexed 2025-11-15T00:11:48Z
publishDate 2018
publisher Pusat Perubatan Universiti Kebangsaan Malaysia
recordtype eprints
repository_type Digital Repository
spelling oai:generic.eprints.org:125672019-02-14T21:46:51Z http://journalarticle.ukm.my/12567/ Keeping an eye out for Klebsiella endopthalmitis: Klebsiella pneumoniae invasive liver abscess syndrome Jia, Ying S Ian, Chik Azlanudin A, Zamri Zainal, Hairol O, Hypervirulent Klebsiella pneumoniae strain is a major cause of liver abscess and this bacteria has metastatic properties. This distinct liver abscess syndrome has been increasingly reported in Asia over the past two decades, but is emerging as a global disease. We described an 81-year-old lady, who presented to the emergency department with 1-week prior duration of fever and right eye swelling. She had been admitted for recurrent liver abscess prior to this. Hence, she was initially treated as sepsis secondary to recurrent liver abscess. Meanwhile, she was managed concurrently by ophthalmology team for endophtalmitis. Despite the initiation of treatment with antibiotics, she did not show any improvement and required right eye evisceration to treat the sepsis. Invasive liver abscess syndrome with metastatic endophthalmitis should be screened in patient with Klebsiella liver abscess. They should be monitored for ocular symptoms as early recognition can prohibit delays in treatment, which has debilitating consequences. Pusat Perubatan Universiti Kebangsaan Malaysia 2018 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/12567/1/8.jia_ying_s_et_al.pdf Jia, Ying S and Ian, Chik and Azlanudin A, and Zamri Zainal, and Hairol O, (2018) Keeping an eye out for Klebsiella endopthalmitis: Klebsiella pneumoniae invasive liver abscess syndrome. Journal of Surgical Academia, 8 (2). pp. 35-38. ISSN 2231-7481 http://jsurgacad.com/toc
spellingShingle Jia, Ying S
Ian, Chik
Azlanudin A,
Zamri Zainal,
Hairol O,
Keeping an eye out for Klebsiella endopthalmitis: Klebsiella pneumoniae invasive liver abscess syndrome
title Keeping an eye out for Klebsiella endopthalmitis: Klebsiella pneumoniae invasive liver abscess syndrome
title_full Keeping an eye out for Klebsiella endopthalmitis: Klebsiella pneumoniae invasive liver abscess syndrome
title_fullStr Keeping an eye out for Klebsiella endopthalmitis: Klebsiella pneumoniae invasive liver abscess syndrome
title_full_unstemmed Keeping an eye out for Klebsiella endopthalmitis: Klebsiella pneumoniae invasive liver abscess syndrome
title_short Keeping an eye out for Klebsiella endopthalmitis: Klebsiella pneumoniae invasive liver abscess syndrome
title_sort keeping an eye out for klebsiella endopthalmitis: klebsiella pneumoniae invasive liver abscess syndrome
url http://journalarticle.ukm.my/12567/
http://journalarticle.ukm.my/12567/
http://journalarticle.ukm.my/12567/1/8.jia_ying_s_et_al.pdf