Abstract

This case illustrates a rare but serious complication of Klebsiella pneumoniae induced liver abscess, namely endogenous endophthalmitis. A 61-year-old male presented to the emergency department with febrile fever, right upper abdominal pain, and generalized muscle and joint pain. Blood tests revealed a significant increase in inflammatory markers, and a CT scan showed lesions indicative of a liver abscess. On the third day of hospitalization, the patient developed significant vision loss in his left eye, eye pain, and photophobia. Blood cultures isolated K. pneumoniae, confirming the diagnosis of endogenous endophthalmitis. The patient was successfully treated with intravenous and real antibiotic therapy, along with drainage of the liver abscesses. Early diagnosis and prompt treatment are crucial for managing this condition.