PMC8094904_01
External photo of the left eye showing proptosis, 360  conjunctival chemosis with hypopyon consistent with endophthalmitis.
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She had no apparent endogenous or exogenous source on initial evaluation (Fig. 1).
String test demonstrating hypermucoviscosity of Klebsiella pneumoniae.
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The isolated strain from the intraocular content was characterized by hypermucoviscosity demonstrated by a string test (Fig. 2).
Post-contrast CT scan orbit (A) and abdomen (B). (A) left proptosis, uveoscleral thickening, fat stranding (black arrow). (B) Right Renal abscess appears as a well-defined mass (white arrow) of low attenuation with a thick, irregular wall, subtle fascial and septal thickening is present in the perinephric fat.
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CT (Fig. 3) scan showed mildly enlarged right kidney with well-defined multiple focal cystic lesions along the right renal cortex with diffuse irregular thick enhancement associated with mild dilatation of the renal vessel with minimal thickening of the adjacent vessels, findings collectively were highly suggestive of renal abscesses. CT scan of the chest was normal.