case_images: PMC11746107_01
case_images: Results of ocular examinations. The left conjunctiva appeared hyperemic, the left cornea was white and cloudy, and massive pus accumulation was observed in the anterior chamber, suggesting left endophthalmitis as a secondary infection.
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case_images: PMC11746107_01_fmed-11-1513831-g001.jpg
case_images: F1
case_images: Ocular examination revealed hyperemia of the left eyelid and conjunctiva, a white and cloudy left cornea, massive pus accumulation in the anterior chamber, and an invisible iris, suggesting left endophthalmitis as a secondary infection (Figure 1).
case_images: Blood agar plate: positive string test for the Klebsiella pneumoniae isolated from the present patient.
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case_images: PMC11746107_01_fmed-11-1513831-g002.jpg
case_images: F2
case_images: A positive string test confirmed the hypervirulent strain of Kp (Figure 2).
case_images: A whole-abdomen CT scan, including plain and enhanced views, revealed a low-density lesion approximately 28 mm in diameter in the S4 segment of the left liver lobe, with a well-defined boundary and a CT value of 16 HU (A). Enhanced imaging further demonstrated non-homogeneous enhancement and large patchy halo signs, consistent with a diagnosis of a liver abscess (B). After more than 6 weeks of combined antibiotic therapy, significant shrinkage of the liver abscess was observed (C). Chest CT scans revealed scattered nodular and patchy blurred shadows with increased density in both lungs, with some lesions showing cavitation, indicative of bilateral pneumonia and multiple lung abscesses (D,E). A subsequent follow-up CT demonstrated marked improvement, with substantial absorption of pulmonary lesions in both lungs (F).
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case_images: PMC11746107_01_fmed-11-1513831-g003.jpg
case_images: F3
case_images: Enhanced imaging revealed significant non-homogeneous enhancement with large patchy halo signs, indicative of a liver abscess (Figures 3A, B). Chest CT scans revealed scattered nodular and patchy blurred shadows with increased density in both lungs, some of which were cavitary, suggestive of bilateral pneumonia with multiple lung abscesses (Figures 3D, E). The liver lesion in the S4 segment of the left liver lobe also decreased significantly in size (Figures 3C, F).