Klebsiella Pneumoniae Endogenous Endophthalmitis

A 46-year-old healthy male presented with a red and painful eye with a preceding febrile gastrointestinal illness. Examination and work-up revealed concomitant intraocular and liver abscesses that required pars plana vitrectomy, drainage of subretinal abscess, inpatient admission, and systemic antibiotics. The patient ultimately required enucleation of the eye due to persistent pain and poor visual prognosis. Conclusion: Klebsiella pneumoniae endogenous endophthalmitis is a rare and potentially devastating disease that requires high clinical suspicion and early diagnosis. Practitioners should consider systemic etiologies and communicate guarded prognoses in this aggressive disease.

Presentation Date: 09/10/2020

Issue Date: 02/12/2021