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Rare case of endogenous Klebsiella endophthalmitis associated with emphysematous prostatitis in a patient with diabetes, cirrhosis and COVID-19.
Crane, Alexander B; Abreu Diaz, Monica C; Jiang, Yi; Pergament, Kathleen Mangunay.
  • Crane AB; Department of Ophthalmology, Rutgers New Jersey Medical School, Newark, New Jersey, USA abc126@njms.rutgers.edu.
  • Abreu Diaz MC; Internal Medicine, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
  • Jiang Y; Internal Medicine, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
  • Pergament KM; Internal Medicine, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
BMJ Case Rep ; 14(4)2021 Apr 21.
Article in English | MEDLINE | ID: covidwho-1197249
ABSTRACT
A 35-year-old Hispanic man presented with fever, chills, dysuria, diarrhoea, scleral icterus, tachycardia and tachypnea. He was found to be COVID-19 positive, CT of the pelvis revealed prostatic abscess, and urine culture grew Klebsiella pneumoniae Additionally, he was found to have diabetes and cirrhosis. During treatment, the patient developed vision loss, and was diagnosed with endogenous Klebsiella endophthalmitis. The patient was treated with intravenous antibiotics, pars plana vitrectomy, intravitreal antibiotics and cystoscopy/suprapubic catheter placement. On follow-up, the patient has had the suprapubic catheter removed, and successfully passed a voiding trial, but suffers permanent vision loss in both eyes.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Prostatitis / Klebsiella Infections / Endophthalmitis / Diabetes Mellitus / COVID-19 Type of study: Case report / Cohort study / Diagnostic study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Adult / Humans / Male Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2020-240425

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Prostatitis / Klebsiella Infections / Endophthalmitis / Diabetes Mellitus / COVID-19 Type of study: Case report / Cohort study / Diagnostic study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Adult / Humans / Male Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2020-240425