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KMID : 0359920070260050625
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Korean Journal of Nephrology
2007 Volume.26 No. 5 p.625 ~ p.629
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A Case of Endogenous Endophthalmitis and Multifocal Pneumonia Complicated by Renal Abscess and Sepsis due to Escherichia coli
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Kim Su-Yoen
Park Young-Hoon
Ko Hoon-Young
Lee Yune-Jeong
Jeong Hee-Sun
Park Sang-Mi
Kim Young-Ok
Yoon Sun-Ae
Kim Young-Soo
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Abstract
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Metastatic or septic endogenous endophthalmitis is a rare, but devastating complication of systemic septicemia. This condition may become more common as the number of chronically debilitated patients and the use of invasive procedures increase. Many etiologic organisms (gram-positive, gram-negative and fungi) and many clinical conditions (pyelonephritis, endocarditis, meningitis, pneumonia) have been reported to cause endogenous endophthalmitis. Risk factors include most of the known reasons for immune suppression and chronic illness. A high clinical suspicion is required in early diagnosis and treatment. Early antibiotics and vitrectomy are more widely accepted as therapeutic modalities.
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KEYWORD
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Endophthalmitis, Abscess, Sepsis
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