| 제2형 당뇨병환자에서 급성 요로감염, 봉와직염과 동반된 내인성 Klebsiella 안내염 1예 |
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황치성, 석지혜, 강지현, 권혁용, 김현진, 김명준, 천민구, 장정현, 김상수, 김미경 |
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| A Case of Endogenous Klebsiella Endophthalmitis Associated with Acute Urinary Tract Infection, Cellulitis in a Type 2 Diabetic Patient |
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Chi Sung Hwang, Ji Hye Suk, Ji Hyun Kang, Hyuk Yong Kwon, Hyeon Jin Kim, Myoung Joon Kim, Min Gu Chon, Jung Hyun Jang, Sang Soo Kim, Mi Kyung Kim |
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| Abstract |
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Endogenous endophthalmitis is a rare intraocular inflammation, caused by the migration of the pathogen from a distant primary site of infection to the eye where it crosses the blood-ocular barrier. Endogenous endophthalmitis caused by Klebsiella pneumoniae was considered a particularly devasting disease, characterized by preexisting illness and poor visual prognosis. We report here a case of endogenous endophthalmitis due to K. pneumoniae associated with acute urinary tract infection and cellulitis in a patient with type 2 diabetes. A 61-year-old man visited local hospital for evaluation of headache and blurred vision. Four days later, he was referred to our hospital and admitted. K. pneumoniae were isolated and identified from from the culture of blood, urine and vitreous fluid. The patient was started on combination antibiotics by both intravenous and intravitreal route. The sign of endophthalmitis got progressively worse despite treatment and enucleation was performed 8 days after admission. (Korean Clinical Diabetes J 11:239-242, 2010) |
| Key Words:
Endophthalmitis, Type 2 Diabetes Mellitus, Urinary tract infection |
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