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Nocardia keratitis.

D B Climenhaga, A C Tokarewicz, N R Willis

    Canadian Journal of Ophthalmology. Journal Canadien D'Ophtalmologie
    |October 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    A corneal injury from vegetable matter led to Nocardia asteroides infection (keratitis and endophthalmitis). Prompt medical and surgical intervention saved the eye, achieving partial vision recovery.

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    Area of Science:

    • Ophthalmology
    • Infectious Diseases
    • Microbiology

    Background:

    • Corneal injuries from vegetable matter pose a risk for microbial keratitis.
    • Ocular Nocardia infections can lead to severe complications like endophthalmitis.

    Observation:

    • A 31-year-old male presented with unilateral keratitis after a superficial corneal injury involving vegetable foreign material.
    • The condition rapidly progressed to corneal perforation and endophthalmitis.

    Findings:

    • Nocardia asteroides was identified as the causative agent from anterior chamber aspirate.
    • Aggressive medical and surgical management were employed for treatment.

    Implications:

    • Successful globe salvage and visual acuity of 6/15 were achieved despite the severe infection.
  • The case highlights the importance of prompt diagnosis and aggressive management of Nocardia keratitis and endophthalmitis.