Nocardia asteroides necrotizing scleritis associated with subtenon triamcinolone acetonide injection
1Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Connecticut 06511, USA.
Ocular Immunology and Inflammation
|August 22, 2008
Abstract
Purpose:
To report a case of Nocardia asteroides infection after subtenon triamcinolone acetonide injection.
Design:
Case report.
Results:
An 80-year old female received a subtenon triamcinolone acetonide injection for postcataract surgery cystoid macular edema. Shortly after, the patient developed a chronic red eye that progressed to a fulminant necrotizing scleritis. Eventual scleral biopsy revealed Nocardia asteroides infection, which improved after 5 months of systemic antibiotic therapy.
Conclusions:
Subtenon triamcinolone acetonide injection should be recognized as a cause of serious infectious scleritis.
