Introduction
K. Pneumoniae is an organism known to cause community-acquired
Liver abscess syndromes. Such cases have been increasingly identified in
the past decades particularly in patients with diabetes mellitus.
Metastatic infectious complications due to this organism can
occur. Endogenous endophthalmitis is a rare complication with
panophthalmitis being more infrequent. It is very rare to encounter more
than one infectious foci in such cases. We present a case of Pyogenic
liver abscess with 2 metastatic foci; leading to panophthalmitis and
cerebellar abscess.
This exemplifies the pertinence of thorough workup for infectious
complications along with prompt medical as well as surgical treatment to
prevent complications & mortality. Despite treatment with parenteral
and intravitreal antibiotics, visual outcomes are generally poor,
savable vision is limited to eyes that receive early treatment.