OJOph  Vol.2 No.3 , August 2012
Late-onset Orbital Cellulitis with Abscess Formation Caused by Klebsiella Pneumoniae
Author(s) Jing Li, Jianmin Ma*, Xin Ge
ABSTRACT
Klebsiella pneumoniae is a facultative anaerobic gram-negative, non-motile, capsulated, gas-producing rod found widely in nature and often associated with urinary and respiratory infections in humans. Orbital cellulitis with abscess formation caused by K. pneumoniae is rare. Here, we present a case of K. pneumonia-inducing orbital cellulitis with abscess formation in a patient who had undergone an orbital wall fracture prosthesis with hydroxyapatite implantation due to orbital trauma 9 years ago. The patient was treated successfully with antibiotics and surgery.

Cite this paper
J. Li, J. Ma and X. Ge, "Late-onset Orbital Cellulitis with Abscess Formation Caused by Klebsiella Pneumoniae," Open Journal of Ophthalmology, Vol. 2 No. 3, 2012, pp. 89-92. doi: 10.4236/ojoph.2012.23019.
References
[1]   E. Rezaei, H. Safari, M. Naderinasab, et al., “Common pathogens in burn wound and changes in their drug sensitivity,” Burns, Vol. 37, No. 5, 2011, pp. 804-806. doi:10.1016/j.burns.2011.01.019

[2]   M. I. Ahmed, “Prevalence of nosocomial wound infection among postoperative patients and antibiotics patterns at teaching hospital in Sudan,” North American Journal of Medical Sciences, Vol. 4, No. 1, 2012, pp. 29-34. doi:10.4103/1947-2714.92900

[3]   A. K. Seth, M. R. Geringer, A. N. Gurjala, et al., “Understanding the host inflammatory response to wound infection: An in vivo study of Klebsiella pneumoniae in a rabbit ear wound model,” Wound Repair and Regeneration, Vol. 20, No. 2, 2012, pp. 214-225. doi:10.1111/j.1524-475X.2012.00764.x

[4]   S. Ghafourian, Z. Bin Sekawi, N. Sadeghifard, et al., “The prevalence of ESBLs producing Klebsiella pneumoniae isolates in some major hospitals, Iran,” Open Microbiology Journal, Vol. 5, 2011, pp. 91-95. doi:10.2174/1874285801105010091

[5]   Z. Ghorashi, N. Nezami, H. Hoseinpour-Feizi, et al., “Arthritis, osteomyelitis, septicemia and meningitis caused by Klebsiella in a low-birth-weight newborn: a case report,” Journal of Medical Case Reports, Vol. 5, 2011, pp. 241.

[6]   S. Schelenz, K. Bramham and D. Goldsmith, “Septic arthritis due to extended spectrum beta lactamase producing Klebsiella pneumoniae,” Joint Bone Spine, Vol. 74, No. 3, 2007, pp. 275-278. doi:10.1016/j.jbspin.2006.08.007

[7]   L. C. Chew, “Septic monoarthritis and osteomyelitis in an elderly man following Klebsiella pneumoniae genitourinary infection: case report,” Annals of the Academy of Medicine Singapore, Vol. 35, No. 2, 2006, pp. 100-103.

[8]   J. E. Kohler, M. P. Hutchens, P. M. Sadow, et al., “Klebsiella Pneumoniae necrotizing fasciitis and septic arthritis: an appearance in the western hemisphere,” Surgical Infections, Vol. 8, No. 2, 2007, pp. 227-232. doi:10.1089/sur.2006.007

[9]   N. Y. Lee, W. H. Huang, K. C. Tsui, et al., “Carbapenem therapy for bacteremia due to extended-spectrum (beta)-lactamase-producing Escherichia coli or Klebsiella pneumoniae,” Diagnostic Microbiology and Infectious Disease, Vol. 70, No. 1, 2011, pp. 150-153. doi:10.1016/j.diagmicrobio.2010.12.008

[10]   A. Stucki, M. Cottagnoud, F. Acosta, et al., “Efficacy of doripenem against Escherichia coli and Klebsiella pneumoniae in experimental meningitis,” Journal of Antimicrobial Chemotherapy, Vol. 67, No. 3, 2012, pp. 661-665. doi:10.1093/jac/dkr482

[11]   W. N. Chang, C. H. Lu, C. R. Huang, et al., “Clinical characteristics of post-neurosurgical Klebsiella pneumoniae meningitis in adults and a clinical comparison to the spontaneous form in a Taiwanese population,” Journal of Clinical Neuroscience, Vol. 17, No. 3, 2010, pp. 334-338. doi:10.1016/j.jocn.2009.06.019

[12]   D. A. Rosen, J. S. Pinkner, J. N. Walker, et al., “Molecular variations in Klebsiella pneu-moniae and Escherichia coli FimH affect function and pathogenesis in the urinary tract,” Infection and Immunity, Vol. 76, No. 7, 2008, pp. 3346-3356. doi:10.1128/IAI.00340-08

[13]   S. Zarei-Ghanavati, M.R. Sedaghat and A. Ghavami-Shahri, “Acute Klebsiella pneumoniae interface keratitis after deep anterior lamellar keratoplasty,” Japanese Journal of Ophthalmology, Vol. 55, No. 1, 2011, pp. 74-76. doi:10.1007/s10384-010-0836-7

[14]   T. Aung and T. K. Chan, “Nosocomial Klebsiella pneumoniae conjunctivitis resulting in infectious keratitis and bilateral corneal perforation,” Cornea, Vol. 17, No. 5, 1998, pp. 558-561. doi:10.1097/00003226-199809000-00015

[15]   A. H. Kashani and D. Eliott, “Bilateral Klebsiella pneumoniae (K1 serotype) endogenous endophthalmitis as the presenting sign of disseminated infection,” Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye, Vol. 42, 2011, pp. e12-14.

[16]   L. P. Ang, H. M. Lee, K. G. Au Eong, et al., “Endogenous Klebsiella endophthalmitis,” Eye, Vol. 14, No. 6, 2000, pp. 855-860. doi:10.1038/eye.2000.236

[17]   Y. J. Chen, H. K. Kuo, P. C. Wu, et al., “A 10-year comparison of endogenous endophthalmitis outcomes: an East Asian experience with Klebsiella pneumoniae infection,” Retina, Vol. 24, No. 3, 2004, pp. 383-390. doi:10.1097/00006982-200406000-00008

[18]   S. J. Yang, S. Y. Park, Y. J. Lee, et al., “Klebsiella pneumoniae orbital cellulitis with extensive vascular occlusions in a patient with type 2 diabetes,” Korean Journal of Internal Medicine, Vol. 25, No. 1, 2010, pp. 114-117. doi:10.3904/kjim.2010.25.1.114

[19]   I. A. Chaudhry, F. A. Shamsi, E. Elzaridi, et al., “Inpatient preseptal cellulitis: experience from a tertiary eye care centre,” British Journal of Ophthalmology, Vol. 92, No. 10, 2008, pp. 1337-1341. doi:10.1136/bjo.2007.128975

[20]   C. T. Lin and Y.Y. Tsai, “Klebsiella pneumoniae orbital cellulitis,” Chinese Medical Journal (Taipei), Vol. 64, No. 9, 2001, pp. 551-554.

[21]   A. Hauser and S. Fogarasi, “Periorbital and orbital cellulitis,” Pediatrics in Review, Vol. 31, No. 6, 2010, pp. 242-249.

[22]   M. Coskun, O. IIhan, U. Keskin, et al., “Central retinal artery occlusion secondary to orbital cellulitis and abscess following dacryocystitis,” European Journal of Ophthalmology, Vol. 21, No. 5, 2011, pp. 649-652. doi:10.5301/EJO.2011.6493

[23]   K. Starska, M. Lukomski and D. Starska-Dawidowskda, “Preseptal orbital abscess as a post-traumatic late complication--review of the literature and case report,” Otolaryngologia polska. The Polish otolaryngology, Vol. 61, No. 3, 2007, pp. 331-334. doi:10.1016/S0030-6657(07)70438-9

[24]   S. Rumelt and P. A. Rubin, “Potential sources for orbital cellulitis,” International Ophthalmology Clinics, Vol. 36, No. 3, 1996, pp. 207-221. doi:10.1097/00004397-199603630-00019

[25]   P. Laloyaux, D. Vanpee and J. B. Gillet, “Orbital cellulitis with abscess formation caused by frontal sinusitis,” Journal of Emergency Medicine, Vol. 18, No. 2, 2000, pp. 253-254. doi:10.1016/S0736-4679(99)00204-8

[26]   G. J. Ben Simon, S. Bush, D. Selva, et al., “Orbital cellulitis: a rare complication after orbital blowout fracture,” Ophthalmology, Vol. 112, No. 11, 2005, pp. 2030-2034. doi:10.1016/j.ophtha.2005.06.012

[27]   S. P. Bord and J. Linden, “Trauma to the globe and orbit,” Emergency Medicine Clinics of North America, Vol. 26, No. 1, 2008, pp. 97-123. doi:10.1016/j.emc.2007.11.006

[28]   I. Brook, “Microbiology of sinusitis,” Proceedings of the American Thoracic Society, Vol. 8, No. 1, 2011, pp. 90-100. doi:/10.1513/pats.201006-038RN

[29]   V. Kumar and D. Saunders, “Orbital cellulitis after phacoemulsification and intraocular lens implantation,” Journal of Cataract and Refractive Surgery, Vol. 30, No. 4, 2004, pp. 918-920. doi:10.1016/j.jcrs.2003.11.026

[30]   S. Y. Liang, G. Moloney, B. A. O’Donnell, et al., “Orbital cellulitis as a postoperative complication of sub-Tenon anaesthesia in cataract surgery,” Clinical and Experimental Ophthalmology, Vol. 34, No. 9, 2006, pp. 897-899. doi:10.1111/j.1442-9071.2006.01361.x

[31]   V. Juthani, C. I. Zoumalan, R. D. Lisman, et al., “Successful management of methicillin-resistant Staphylococcus aureus orbital cellulitis after blepharoplasty,” Plastic and reconstructive surgery, Vol. 126, No. 6, 2010, pp. 305e-307e. doi:10.1097/PRS.0b013e3181f63f67

[32]   E. Hoyama, V. Li-mawararut, I, Leibovitch, et al., “Blinding orbital cellulitis: a complication of strabismus surgery,” Ophthalmic Plastic and Reconstructive Surgery, Vol. 22, No. 6, 2006, pp. 472-473. doi:10.1097/01.iop.0000245486.61228.8d

[33]   A. Basheikh and R. Superstein, “A child with bilateral orbital cellulitis one day after strabismus surgery,” Journal of AAPOS, Vol. 13, No. 5, 2009, pp. 488-490. doi:10.1016/j.jaapos.2009.05.016

[34]   M. P. Hatton and M. L. Durand, “Orbital cellulitis with abscess formation following surgical treatment of canaliculitis,” Ophthalmic Plastic and Reconstructive Surgery, Vol. 24, No. 4, 2008, pp. 314-316. doi:10.1097/IOP.0b013e31817e9be7

[35]   M. M. Marcet, J. J. Woog, A. R. Bellows, et al., “Orbital complications after aqueous drainage device procedures, ” Ophthalmic Plastic and Reconstructive Surgery, Vol. 21, No. 1, 2005, pp. 67-69. doi:10.1097/01.IOP.0000150351.91768.16

 
 
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