Klebsiella pneumoniae orbital cellulitis with extensive vascular occlusions in a patient with type 2 diabetes
- Authors
- Yang S.J.; Park S.Y.; Lee Y.J.; Kim H.Y.; Seo J.A.; Kim S.G.; Choi D.S.
- Issue Date
- Mar-2010
- Keywords
- Eye infections, bacterial; Klebsiella pneumoniae; Orbital cellulitis
- Citation
- Korean Journal of Internal Medicine, v.25, no.1, pp 114 - 117
- Pages
- 4
- Indexed
- SCOPUS
KCI
- Journal Title
- Korean Journal of Internal Medicine
- Volume
- 25
- Number
- 1
- Start Page
- 114
- End Page
- 117
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/15440
- DOI
- 10.3904/kjim.2010.25.1.114
- ISSN
- 1226-3303
2005-6648
- Abstract
- A 39-year-old woman visited the emergency room complaining of right eye pain and swelling over the preceding three days. The ophthalmologist's examination revealed orbital cellulitis and diabetic retinopathy in the right eye, although the patient had no prior diagnosis of diabetes. It was therefore suspected that she had diabetes and orbital cellulitis, and she was started on multiple antibiotic therapies initially. She then underwent computed tomography scans of the orbit and neck and magnetic resonance imaging of the brain. These studies showed an aggravated orbital cellulitis with abscess formation, associated with venous thrombophlebitis, thrombosis of the internal carotid artery, and mucosal thickening of maxillary sinus with multiple paranasal abscesses. Three days later, initial blood culture grew Klebsiella pneumoniae. She recovered after incision and drainage and antibiotic therapy for 37 days.
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- Appears in
Collections - 2. Clinical Science > Department of Endocrinology and Metabolism > 1. Journal Articles
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