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Klebsiella pneumoniae liver abscess complicated by endogenous endophthalmitis: the importance of early diagnosis and intervention
Author(s) -
Moore Phoebe P,
McGowan Gerard F,
Sandhu Sukhpal S,
Allen Penelope J
Publication year - 2015
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/mja15.00107
Subject(s) - medicine , klebsiella pneumoniae , general hospital , optometry , ophthalmology , general surgery , biology , biochemistry , escherichia coli , gene
White cell count (26 10/L; reference interval [RI], 4.0e11.0 10/L) and C-reactive protein levels (199 mg/L; RI <5mg/L) were both elevated; liver function tests were deranged, with evidence of cholestasis. Liver ultrasonography revealed a 5.3 cm abscess in segment VII. A CT scan showed two abscesses: a 5.0 5.7 cm abscess in segments V/VIII and a 3.3 5.1 cm abscess in segment VII, with cholelithiasis and segmental thrombosis of the right hepatic vein (Figure, B). The results of blood cultures were negative.