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Nocardial necrotizing scleritis after trauma. Successful outcome using cefazolin
S Basti1, U Gopinathan, S Gupta
1Cornea Services, L. V. Prasad Eye Institute, Hyderabad, India.
Cornea
|May 1, 1994
Summary
Nocardial necrotizing scleritis, a rare eye infection, can threaten sight. Prompt identification and targeted antibiotic treatment with cefazolin led to successful recovery in a farm worker with Nocardia asteroides infection.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Microbiology
Background:
- Nocardial necrotizing scleritis is an uncommon and potentially sight-threatening ocular infection.
- Prompt diagnosis and appropriate antimicrobial therapy are crucial for managing this condition.
Observation:
- A 58-year-old farm worker presented with necrotizing scleritis following trauma from vegetable matter.
- Microbiological analysis identified Nocardia asteroides as the causative agent.
Findings:
- Nocardia asteroides isolate was sensitive exclusively to cefazolin.
- The patient achieved a final visual acuity of 20/40 with complete resolution of scleritis after treatment with cefazolin.
Implications:
- Early microbiological isolation and antibiotic sensitivity testing are critical for successful treatment of Nocardia scleritis.
- Cefazolin demonstrated efficacy in managing this case of Nocardia asteroides necrotizing scleritis.