Klebsiella pneumoniae Orbital Cellulitis: Clinical Manifestations and Outcomes in a Tertiary Medical Center in Taiwan
Purpose. To report six cases of Klebsiella pneumoniae orbital cellulitis without preceding endophthalmitis. Method. Retrospective chart review. Results. We reported four females and two males admitted to our hospital for Klebsiella pneumoniae orbital cellulitis proven by computed tomographies and ba...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
|
| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2018/4237573 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832561700920885248 |
|---|---|
| author | Chieh-Hung Yen Shu-Ya Wu Yi-Lin Liao |
| author_facet | Chieh-Hung Yen Shu-Ya Wu Yi-Lin Liao |
| author_sort | Chieh-Hung Yen |
| collection | DOAJ |
| description | Purpose. To report six cases of Klebsiella pneumoniae orbital cellulitis without preceding endophthalmitis. Method. Retrospective chart review. Results. We reported four females and two males admitted to our hospital for Klebsiella pneumoniae orbital cellulitis proven by computed tomographies and bacterial cultures from May 1995 to March 2017. Proptosis, conjunctival congestion, and chemosis and limitation of ocular motility were present in all six patients. Four patients had decreased visual acuities, and three of them recovered completely after treatment. The origin of the infection was sinus in four patients, skin wound in one patient, and sepsis presumably caused by a dental procedure in one patient. Three of all six patients had underlying diabetes mellitus. Two patients had orbital cellulitis before they were diagnosed of diabetes during hospital stay. Conclusion. Diabetes may be a risk factor of Klebsiella pneumoniae orbital cellulitis, especially for those of nonsinus origin. |
| format | Article |
| id | doaj-art-4a18cc891d1a4fed90b4d528c7aa93f5 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-4a18cc891d1a4fed90b4d528c7aa93f52025-02-03T01:24:23ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/42375734237573Klebsiella pneumoniae Orbital Cellulitis: Clinical Manifestations and Outcomes in a Tertiary Medical Center in TaiwanChieh-Hung Yen0Shu-Ya Wu1Yi-Lin Liao2Department of Ophthalmology, Chang Gung Memorial Hospital Linkou Branch, Taoyuan, TaiwanDepartment of Ophthalmology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taipei, TaiwanDepartment of Ophthalmology, Chang Gung Memorial Hospital Linkou Branch, Taoyuan, TaiwanPurpose. To report six cases of Klebsiella pneumoniae orbital cellulitis without preceding endophthalmitis. Method. Retrospective chart review. Results. We reported four females and two males admitted to our hospital for Klebsiella pneumoniae orbital cellulitis proven by computed tomographies and bacterial cultures from May 1995 to March 2017. Proptosis, conjunctival congestion, and chemosis and limitation of ocular motility were present in all six patients. Four patients had decreased visual acuities, and three of them recovered completely after treatment. The origin of the infection was sinus in four patients, skin wound in one patient, and sepsis presumably caused by a dental procedure in one patient. Three of all six patients had underlying diabetes mellitus. Two patients had orbital cellulitis before they were diagnosed of diabetes during hospital stay. Conclusion. Diabetes may be a risk factor of Klebsiella pneumoniae orbital cellulitis, especially for those of nonsinus origin.http://dx.doi.org/10.1155/2018/4237573 |
| spellingShingle | Chieh-Hung Yen Shu-Ya Wu Yi-Lin Liao Klebsiella pneumoniae Orbital Cellulitis: Clinical Manifestations and Outcomes in a Tertiary Medical Center in Taiwan Journal of Ophthalmology |
| title | Klebsiella pneumoniae Orbital Cellulitis: Clinical Manifestations and Outcomes in a Tertiary Medical Center in Taiwan |
| title_full | Klebsiella pneumoniae Orbital Cellulitis: Clinical Manifestations and Outcomes in a Tertiary Medical Center in Taiwan |
| title_fullStr | Klebsiella pneumoniae Orbital Cellulitis: Clinical Manifestations and Outcomes in a Tertiary Medical Center in Taiwan |
| title_full_unstemmed | Klebsiella pneumoniae Orbital Cellulitis: Clinical Manifestations and Outcomes in a Tertiary Medical Center in Taiwan |
| title_short | Klebsiella pneumoniae Orbital Cellulitis: Clinical Manifestations and Outcomes in a Tertiary Medical Center in Taiwan |
| title_sort | klebsiella pneumoniae orbital cellulitis clinical manifestations and outcomes in a tertiary medical center in taiwan |
| url | http://dx.doi.org/10.1155/2018/4237573 |
| work_keys_str_mv | AT chiehhungyen klebsiellapneumoniaeorbitalcellulitisclinicalmanifestationsandoutcomesinatertiarymedicalcenterintaiwan AT shuyawu klebsiellapneumoniaeorbitalcellulitisclinicalmanifestationsandoutcomesinatertiarymedicalcenterintaiwan AT yilinliao klebsiellapneumoniaeorbitalcellulitisclinicalmanifestationsandoutcomesinatertiarymedicalcenterintaiwan |