A Case of Diabetic Ketoacidosis Induced by Klebsiella Liver Abscess with Catastrophic Endopthalmitis

Lee, Guk Jin; Jang, Eun Hee; Jie, Byung Soo; Kim, Ji Hyun; Lee, Jung Min; Lee, Kwang Woo; Son, Ho Young; Chang, Sang Ah

Case Report

The Journal of Korean Diabetes 2008;9(3):207-212.

안내염과 전신적 패혈증을 동반한 Klebsiella 간농양으로 유발된 당뇨병성 케톤산증 1예

이국진, 장은희, 지병수, 김지현, 이정민, 이광우, 손호영, 장상아

A Case of Diabetic Ketoacidosis Induced by Klebsiella Liver Abscess with Catastrophic Endopthalmitis

Guk Jin Lee, Eun Hee Jang, Byung Soo Jie, Ji Hyun Kim, Jung Min Lee, Kwang Woo Lee, Ho Young Son, Sang Ah Chang

Abstract

Over the past 20 years, Klebsiella pneumoniae become the leading cause of pyogenic liver abscess in many Asian countries including Korea. And diabetes mellitus is known risk factor of Klebsiella Pneumoniae liver abscess, and it appears to be a significant risk factor for systemic metastatic complications, especially such as endogenous endophthalmitis. A 40-year-old female was admitted for diabetic ketoacidosis which was precipitated by Klebsiella Pneumoniae liver abscess. She was not diagnosed diabetes before and her clinical manifestation showed septic pneumonia, renal abscess and catastrophic endogenous endopthalmitis also. Only three cases of diabetic ketoacidosis precipitated by Klebsiella Pneumoniae liver abscess were reported in known diabetes patients in Korea. Here we report on clinical features of diabetic ketoacidosis which was developed in patients without known diabetes history and accompanied with catastrophic endopthalmitis as the first case of Korea.

Key Words: Diabetic ketoacidosis, Endophthalmitis, Liver abscess