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

Table 1

Clinical data of six patients.

Age/gender

Laterality

Ophthalmic chief complaint

Initial VA (logMAR)

Final VA (logMAR)

Fever

Diabetes

HbA1c/sugar (AC or random)

Origin of infection

Surgery

WBC (1000/µL)

CRP (mg/L)

Drug resistance test

Hospitalization days

1

69/F

OD

Eye pain, redness, and swelling for 1 day

LP

Hand motion

No

No

–/–

Sinusitis (fronto-ethmoidal mucocele extended to intraconal region, with secondary acute infection)

Functional endoscopic sinus surgery (FESS)

11.5

–

Ampicillin and ticarcillin

20

2

30/M

OS

Headache, eye swelling, and lid drop for 2 days

0.046

0

Yes

Yes

11.9/354 (random)

Sepsis, meningitis (dental procedure prior to the episode)

No

15.7

285.8

Resistance not found

23

3

51/F

OD

Eyelid swelling, redness, and tenderness for 2 days

0.523

0

No

No

–/–

Sinusitis (pyomucocele)

FESS orbitotomy

9.8

10.9

Resistance not found

9

4

71/F

OS

Orbital pain for 1 day

0.222

–

No

Yes

6.1/125 (AC)

Sinusitis (facial bone fractures with an orbital wall defect before the episode)

FESS sequestrectomy orbitotomy

12

–

Resistance not found

17

5

55/F

OS

Eyelid swelling and redness for 2 days

0.301

0

Yes

No

–/114 (random)

Sinusitis

FESS orbitotomy

13.3

131.9

Resistance not found

15

6

48/M

OS

Lid swelling for 7 days^†

0.824

0

No

Yes

20.7/612 (random)

Trauma

Incision and drainage (at the office)

13.2

3.3

Resistance not found

10

VA with personal glasses. ^†The patient refused to be admitted when he came the first time; he was admitted 22 days after the initial onset. The data were obtained before admission but after initial treatment, including oral antibiotic and topical antiglaucoma agents. “–”: data not available.