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Open AccessCase Report

Klebsiella pneumoniae-Induced Multiple Infections in a Diabetes Mellitus Patient: Pneumonia, Liver Abscess, Endogenous Endophthalmitis, Urinary Tract Infection

1
Department of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei 231, Taiwan
2
Department of Emergency Medicine, School of Medicine, Tzu Chi University, Hualien 970, Taiwan
*
Author to whom correspondence should be addressed.
Received: 13 March 2018 / Revised: 26 March 2018 / Accepted: 28 March 2018 / Published: 28 March 2018
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Abstract

Klebsiella pneumoniae-induced endogenous endophthalmitis is a rare but devastating disease, which usually occurs in immunosuppressed patients. Poorly controlled diabetes mellitus is a significant risk factor for this disease. The most common distant infection in patients with K. pneumoniae-induced endogenous endophthalmitis was reported to be liver abscess. Other less commons distant infections were found to be catheter-related bloodstream infection, urinary tract infection, soft tissue infection, renal and psoas abscesses, and endocarditis. Patients with coexisting multiple infection sites are rare according to previous studies. These patients may have a high risk of sepsis and death. Here, we present a case of a 64-year-old male who presented with a progressive visual disturbance with general malaise. A K. pneumoniae-induced endogenous endophthalmitis was suspected. After surveying distant infection sites, pneumonia, liver abscess, and urinary tract infection were reported. This paper also describes the clinical features of endogenous endophthalmitis and highlights K. pneumoniae-induced multiple infections in a diabetes mellitus patient, thus providing information that will be useful for physicians to perform timely interventions and avoid sepsis. View Full-Text
Keywords: Klebsiella pneumoniae; endogenous endophthalmitis; liver abscess; diabetes mellitus; sepsis Klebsiella pneumoniae; endogenous endophthalmitis; liver abscess; diabetes mellitus; sepsis
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MDPI and ACS Style

Wu, M.-Y.; Hou, Y.-T.; Yiang, G.-T. Klebsiella pneumoniae-Induced Multiple Infections in a Diabetes Mellitus Patient: Pneumonia, Liver Abscess, Endogenous Endophthalmitis, Urinary Tract Infection. Reports 2018, 1, 7.

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