Medical Physics Research Today is a free monthly online journal that collates and summarizes the latest research about Medical Physics, including details on medicine, radiotherapy, biomechanics, medical imaging.

Fulminant endogenous Klebsiella pneumoniae endophthalmitis: imaging findings.

Seale M, Lee WK, Daffy J, Tan Y, Trost N

Department of Medical Imaging, St. Vincent’s Hospital, University of Melbourne, Victoria Parade, Fitzroy, Victoria, 3065, Australia, leewk33@hotmail.com.

Endogenous endophthalmitis is a rare but serious complication of Klebsiella pneumoniae infection that has been predominantly reported to occur in diabetic patients of East Asian origin with K. pneumoniae liver abscesses. The clinical symptoms and signs of endogenous endophthalmitis are nonspecific and may mimic other causes of an acute non-traumatic eye. Permanent visual loss and blindness are common sequelae because of delayed diagnosis and treatment. Computed tomography and magnetic resonance imaging can help to differentiate endophthalmitis from other causes of acute non-traumatic eye when the clinical findings are equivocal. Fluid attenuated inversion recovery and diffusion-weighted imaging with apparent diffusion coefficient map are superior to T2-weighted and gadolinium-enhanced T1-weighted sequences in demonstrating intra-ocular abscesses.

Published 11 January 2007 in Emerg Radiol, 13(4): 209-212.
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