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- Title
Case of endogenous endophthalmitis caused by Klebsiella pneumoniae with magA and rmpA genes in an immunocompetent patient.
- Authors
Sawada, Akira; Komori, Shinya; Udo, Kazunari; Suemori, Shinsuke; Mochizuki, Kiyofumi; Yasuda, Mitsuru; Ohkusu, Kiyofumi
- Abstract
We report a case of endogenous endophthalmitis caused by Klebsiella pneumoniae in an immunocompetent patient. A 73-year-old man with acute epididymitis who had no history of diabetes mellitus developed endogenous endophthalmitis. The patient underwent anterior vitrectomy and intracapsular cataract extraction with intravitreal injections of both vancomycin and ceftazidime. After the surgery, he was treated with topical and intravenous antibiotics; however, the left eye perforated and was enucleated. Culture from vitreous biopsy specimens grew as K. pneumoniae, which was positive for both magA and rmpA. K. pneumoniae should be considered as a pathogen that can cause severe endogenous endophthalmitis in patients with urinary tract infection. The severity of the disease may be related to the virulence genes.
- Subjects
KLEBSIELLA pneumoniae; KLEBSIELLA infections; GENES; CATARACT surgery; VANCOMYCIN; ANTIBACTERIAL agents
- Publication
Journal of Infection & Chemotherapy (Springer Science & Business Media B.V.), 2013, Vol 19, Issue 2, p326
- ISSN
1341-321X
- Publication type
Article
- DOI
10.1007/s10156-012-0468-6