A Case of Endogenous Endophthalmitis and Multifocal Pneumonia Complicated by Renal Abscess and Sepsis due to Escherichia coli |
Su Yoen Kim, M.D.1, Young-Hoon Park, M.D.2, Hoon Young Ko, M.D.1 Yune Jeong Lee, M.D.1, Hee Sun Chung, M.D.1 , Sang Mi Park, M.D.1 Young Ok Kim, M.D.1, Sun Ae Yoon, M.D.1 and Young Soo Kim, M.D.1 |
Department of Internal Medicine1 Ophthalmology2 The Catholic University of Korea, Seoul, Korea |
A Case of Endogenous Endophthalmitis and Multifocal Pneumonia Complicated by Renal Abscess and Sepsis due to Escherichia coli |
김수연1 박영훈2 고훈영1 이윤정1 정희선1 박상미1 김영옥1 윤선애1 김영수1 |
가톨릭대학교 의과대학 내과학교실 , 안과학교실 |
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Abstract |
Metastatic or septic endogenous endophthalmitis is a rare, but devastating complication of systemic septicemia. This condition may become more common as the number of chronically debilitated patients and the use of invasive procedures increase. Many etiologic organisms (gram-positive, gram-negative and fungi) and many clinical conditions (pyelonephritis, endocarditis, meningitis, pneumonia) have been reported to cause endogenous endophthalmitis. Risk factors include most of the known reasons for immune suppression and chronic illness. A high clinical suspicion is required in early diagnosis and treatment. Early antibiotics and vitrectomy are more widely accepted as therapeutic modalities. |
Key Words:
Endophthalmitis, Abscess, Sepsis |
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