Please use this identifier to cite or link to this item: http://scholarbank.nus.edu.sg/handle/10635/131074
Title: Nosocomial Klebsiella pneumoniae conjunctivitis resulting in infectious keratitis and bilateral corneal perforation
Authors: Aung, T.
Chan, T.K. 
Keywords: Corneal melt
Infectious keratitis
Klebsiella pneumoniae
Nosocomial infection
Issue Date: 1998
Source: Aung, T., Chan, T.K. (1998). Nosocomial Klebsiella pneumoniae conjunctivitis resulting in infectious keratitis and bilateral corneal perforation. Cornea 17 (5) : 558-561. ScholarBank@NUS Repository.
Abstract: Purpose. Klebsiella pneumoniae is a known cause of metastatic endophthalmitis: However, the organism has never been described to cause severe infectious keratoconjunctivitis. We report a fulminant case of nosocomial K. pneumoniae conjunctivitis complicated by infectious keratitis and corneal perforation in both eyes. Methods. An 83-year-old previously healthy Chinese woman, blind in the right eye from rubeotic glaucoma and with bilateral dense cataracts, was admitted for observation after a head injury. While in hospital, she developed purulent bilateral conjunctivitis. Repeated cultures grew K. pneumoniae. This rapidly progressed to severe infectious keratitis and corneal perforation in both eyes, despite intensive antibiotics to which the organism was susceptible. The patient was otherwise well, and investigations did not reveal any source of endogenous sepsis. Results. The patient lost complete vision in both eyes. The left eye turned phthisical, and the right eye was eviscerated for uncontrolled endophthalmitis. Conclusion. Although not previously reported, K. pneumoniae can cause devastating keratoconjunctivitis resulting in corneal melt, perforation, and uncontrolled endophthalmitis.
Source Title: Cornea
URI: http://scholarbank.nus.edu.sg/handle/10635/131074
ISSN: 02773740
Appears in Collections:Staff Publications

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