Meningoencephalitis due to endogenous endophthalmitis by Klebsiella pneumoniae in a diabetic patient.

Abstract

A 72‑year‑old woman presented with left eye pain, no light perception, and ocular movement restriction. Brain‑MRI showed an enlarged left eyeball with abnormal intensity, and extraocular and meningeal extension along the optic nerve sheath spreading into the brain causing meningoencephalitis with ventriculitis [Fig. 1]. Thoraco‑abdominopelvic CT revealed a gluteal abscess as a potential embolic focus. Vitreous and gluteus exudates cultures found Klebsiella pneumoniae. The patient improved after enucleation.