Table 1. Endophthalmitis caused by Klebsiella species: Clinical Characteristics, Initial Treatment Strategies, and Outcomes.
Patient | Demographics | Etiology | Organism (source) | Presenting VA | Initial Treatment | Clinical Improvement | Follow-up (months) | Last VA |
---|---|---|---|---|---|---|---|---|
1 | 43 year-old man diagnosed with liver abscess after ocular presentation | Endogenous | K. pneumonaie (vitreous tap) | 2/200 | Vitreous tap/injection | No | 1 | enucleated |
2 | 58 year-old woman with history of DM and recent spider bite and cellulitis on arm | Endogenous | K. pneumonaie (PPV specimen) | 1/200 | PPV with intravitreal injection | No | 4 | enucleated |
3 | 60 year-old woman with history of multiple myeloma on chemotherapy and DM | Endogenous | K. pneumonaie (vitreous tap) | Light perception | Vitreous tap/injection | No | 20 | eviscerated |
4 | 60 year-old man status post penetrating trauma with retained IOFB (glass) | Penetrating Trauma | K. pneumonaie (PPV specimen) | Light perception | PPV with intravitreal injection | Yes | 2 | 20/60 |
5 | 31 year-old woman status post penetrating trauma | Penetrating Trauma | K. oxytoca (anterior chamber tap) | 20/60 | Anterior chamber tap/injection* | Yes | 4 | 20/25 |
6 | 78 year-old man status post PK/IOL exchange | Post-operative | K. oxytoca (vitreous tap) | Hand movements | Vitreous tap/injection | Yes | 83 | 20/70 |
7 | 67 year-old woman with history of trabeculectomy 7 months prior | Bleb-related | K. pneumonaie (vitreous tap) | Hand movements | Vitreous tap/injection | No+ | 76 | 20/70 |
DM: diabetes mellitus; IOFB: intraocular foreign body; PPV: pars plana vitrectomy; PK: penetrating keratoplasty; IOL: intraocular lens; VA: Snellen visual acuity; Last VA: visual acuity at last follow-up examination
Patient 5 underwent repair of corneal laceration simultaneously
Patient 7 subsequently underwent pars plana vitrectomy