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Posttraumatic exogenous Nocardia endophthalmitis.

Jeffrey D Hudson¹, Ronald P Danis, Uma Chaluvadi

¹Department of Ophthalmology, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA.

American Journal of Ophthalmology

|June 6, 2003

Summary

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This case report details a rare instance of posttraumatic exogenous Nocardia endophthalmitis. Prompt diagnosis and treatment are crucial as Nocardia infections can mimic fungal endophthalmitis.

Area of Science:

Ophthalmology
Infectious Diseases

Background:

Posttraumatic endophthalmitis requires prompt diagnosis and treatment.
Exogenous Nocardia endophthalmitis is an uncommon but severe ocular infection.

Observation:

A 46-year-old male presented with severe pain, vision loss, hypopyon, and iris mass after penetrating eye injury.
Initial treatments with antifungals and broad-spectrum intravitreal antibiotics were ineffective.

Findings:

Despite aggressive management including vitrectomy, the patient developed recurrent symptoms.
Ocular cultures ultimately confirmed Nocardia asteroides as the causative agent.

Implications:

This case highlights the rarity and challenging diagnosis of Nocardia endophthalmitis.

Related Experiment Videos

Clinical presentation can mimic fungal endophthalmitis, necessitating broad microbiological investigation.