Endogenous endophthalmitis caused by hypervirulent Klebsiella pneumoniae in an elderly person

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Endogenous endophthalmitis (EE) by Klebsiella pneumoniae is a rare disease in Europe with a very poor ophthalmic prognosis. We report a case of hypervirulent Klebsiella pneumoniae EE (HvKp) complicated by a liver abscess in an 85-year-old patient treated in our acute geriatric department. The evolution after 4 weeks of systemic and intravitreal antibiotics was marked by the patient’s healing and monocular blindness. This case highlights the importance of an early infectious extension assessment including the search for an ocular localization during the liver abscess with KpHv, in order to limit the harmful irreversible sequelae in the elderly.

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