In:
Nihon Kyukyu Igakukai Zasshi: Journal of Japanese Association for Acute Medicine, Wiley, Vol. 31, No. 10 ( 2020-10), p. 461-465
Abstract:
Invasive liver abscess syndrome (ILAS) constitutes liver abscess and metastatic infection caused by Klebsiella pneumoniae without apparent bacterial entry; ILAS has been increasingly reported in Asia. The prognosis is not favorable unless the early interventions, especially in visual acuity. Although cases have been reported in Japan, ILAS is not a well–known disease yet. Four patients with ILAS who were diagnosed from 2011 to 2017. The patients were aged between 64 and 88 years. All four patients developed endophthalmitis, three developed meningitis, and one developed pulmonary embolism and brain abscess. Three out of four patients lost their eyesight; one patient who had been diagnosed and treated earlier than the other three did not lose eyesight. Of the four patients who developed endophthalmitis with ILAS, we encountered one patient who did not lose eyesight. ILAS should be considered when a patient is suspected of having meningitis; in such cases, detection of endophthalmitis is recommended because eyesight problems might not be apparent in patients with a consciousness disorder. Early detection might be important to recover visual acuity.
Type of Medium:
Online Resource
ISSN:
1883-3772
,
1883-3772
DOI:
10.1002/jja2.2020.31.issue-10
Language:
English
Publisher:
Wiley
Publication Date:
2020
detail.hit.zdb_id:
2846771-1