Late-onset Orbital Cellulitis with Abscess Formation Caused by Klebsiella Pneumoniae

Abstract

Klebsiella pneumoniae is a facultative anaerobic gram-negative, non-motile, capsulated, gas-producing rod found widely in nature and often associated with urinary and respiratory infections in humans. Orbital cellulitis with abscess formation caused by K. pneumoniae is rare. Here, we present a case of K. pneumonia-inducing orbital cellulitis with abscess formation in a patient who had undergone an orbital wall fracture prosthesis with hydroxyapatite implantation due to orbital trauma 9 years ago. The patient was treated successfully with antibiotics and surgery.

Klebsiella pneumoniae Orbital Cellulitis: Clinical Manifestations and Outcomes in a Tertiary Medical Center in Taiwan

“…There are also two cases in our series who had undiagnosed diabetes before they had orbital cellulitis. In 2012, Li et al reported a case with Klebsiella pneumoniae orbital cellulitis 9 years after repairment of orbital wall fracture with hydroxyapatite implant [ 14 ]. Another case was reported by Murakami et al in 2016.…”

Orbital cellulitis from facial tissue fillers

“…The organisms cultured in the current case (Klebsiella , E. faecalis and P. mirabilis) are extremely rare causes of orbital cellulitis and may indicate the presence of atypical pathogenesis. Similarly, a reported case of Klebsiella orbital cellulitis occurred 9 years after orbital prosthesis insertion . Another case of filler‐associated orbital cellulitis occurred 4 years after filler injection, and Staphylococcus capitis , which is another rare pathogen, was cultured .…”