DOI: https://doi.org/10.36347/sasjs.2026.v12i05.026

Pages: 470-473

Pyogenic liver abscess due to Klebsiella pneumoniae is increasingly recognized as a distinct clinical entity because of its potential for hematogenous spread and metastatic septic complications. We report the case of a 59-year-old woman admitted for fever and right upper quadrant pain, in whom imaging revealed multiple hepatic abscesses. Surgical drainage was performed, and bacteriological analysis identified Klebsiella pneumoniae. On postoperative day 2, the patient developed acute left ocular inflammation, and cranio-orbital MRI findings were consistent with endogenous endophthalmitis. Antibiotic therapy was intensified, leading to favorable clinical, biological, and ophthalmological outcomes. This case highlights the importance of early recognition of ocular complications in patients with Klebsiella liver abscess, as prompt multidisciplinary management may improve prognosis.