Klebsiella pneumoniae orbital cellulitis with extensive vascular occlusions in a patient with type 2 diabetes

Sae Jeong Yang, Soo Yeon Park, Yun Jeong Lee, Hee Young Kim, Ji A. Seo, Sin Gon Kim, Dong Seop Choi

Research output: Contribution to journalArticle

11 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)114-117
Number of pages4
JournalKorean Journal of Internal Medicine
Volume25
Issue number1
DOIs
Publication statusPublished - 2010 Mar

Keywords

  • Eye infections, bacterial
  • Klebsiella pneumoniae
  • Orbital cellulitis

ASJC Scopus subject areas

  • Internal Medicine

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