To report a case of endogenous unilateral orbital cellulitis and endogenous bilateral endophthalmitis caused by Klebsiella friedlanderi as a first sign of pyaemia. A 76-year-old man with orbital cellulitis in his left eye and endophthalmitis in double eyes was affected by pyaemia which resulted from not healing small cellulitis of groin. It is worthy of noticing that the patient received ameliorating circulation treatment for his cerebral ischemia just before his acute loss of vision. On investigation, neck rigidity (++) and positive Kernig’s sign occurred after liver – lung abscess. The cultures of aspiration of liver abscess and pus of the eyes revealed the bacterium Klebsiella friedlanderi. The incomplete healing of cellulitis can cause pyaemia with endogenous orbital cellulitis and endogenous bilateral endophthalmitis as the primary sign. We should pay much attention to ameliorating circulation treatment even in inconspicuous small abcess which can lead to systemic infection.
Orbital cellulitis, Endophthalmitis, pyaemia, Cellulitis of groin
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