Klebsiella pneumoniae liver abscess complicated by endogenous endophthalmitis: the importance of early diagnosis and intervention.

White cell count (26 10/L; reference interval [RI], 4.0e11.0 10/L) and C-reactive protein levels (199 mg/L; RI <5mg/L) were both elevated; liver function tests were deranged, with evidence of cholestasis. Liver ultrasonography revealed a 5.3 cm abscess in segment VII. A CT scan showed two abscesses: a 5.0 5.7 cm abscess in segments V/VIII and a 3.3 5.1 cm abscess in segment VII, with cholelithiasis and segmental thrombosis of the right hepatic vein (Figure, B). The results of blood cultures were negative.