Improving outcomes in patients at risk for venous thromboembolism following total knee and total hip replacement: implications for managed care.

An estimated 1 million Americans suffer from venous thromboembolism (VTE) annually and more than 600,000 experience symptomatic VTE events each year. Patients undergoing total knee replacement (TKR) and total hip replacement (THR) are at high risk for developing VTE (40%-60% risk without prophylaxis). The economic burden of post-TKR/THR VTE is very large, with the average length of stay more than double that of patients without VTE, and risk-adjusted overall costs 4 and 5 times greater among the TKR and THR populations, respectively, compared with non-VTE patients.

Klebsiella pneumoniae endophthalmitis with associated hepatic abscess.

Klebsiella pneumoniae liver abscess is known to be associated with metastatic endophthalmitis, with most cases clustered in Taiwan. We report a case of Klebsiella liver abscess with metastatic endophthalmitis in a nondiabetic Haitian man without underlying medical problems.