Invasive Syndrome with Liver Abscess and Endogenous Endophthalmitis.

Background: Invasive Klebsiella syndrome is an emerging infectious condition that frequently involves pyogenic liver abscess (PLA) and metastatic complications such as endogenous endophthalmitis (EE). This condition is often associated with diabetes mellitus and can result in poor visual prognosis despite treatment.

Case Description: We present the case of a 53-year-old diabetic female who developed EE secondary to a Klebsiella pneumoniae liver abscess.

Validating the CHAMPS Score: A Novel and Reliable Prognostic Score of Non-Variceal Upper Gastrointestinal Bleeding.

Introduction: The Charlson Comorbidity Index ≥2, in-Hospital onset, Albumin <2.5 g/dL, altered Mental status, Eastern Cooperative Oncology Group Performance status ≥2, Steroid use (CHAMPS) score is a novel and promising prognostic tool. We present an initial external validation of the CHAMPS score for predicting mortality in acute nonvariceal upper gastrointestinal bleeding (NVUGIB) across multiple clinical outcomes.

Upper Gastrointestinal Bleeding Caused by Rupture of Pancreatic Pseudoaneurysms.

Pseudoaneurysm rupture in patients with pancreatitis is a rare but fatal etiology of upper gastrointestinal bleeding. We report a rare case of upper gastrointestinal bleeding in a patient who presented simultaneously with two pseudoaneurysms, a potential cause of severe gastrointestinal bleeding. Angiography was successfully performed with coil embolization of the target arteries and both pseudoaneurysmal sacs.