Isolated endogenous Nocardia endophthalmitis after immunosuppression

Lisa Y. Chen, Muge R. Kesen, Abdalhossein Ghafourian, Quan D. Nguyen, Charles G. Eberhart, Diana V. Do

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Purpose: This study is aimed to report a case of endogenous Nocardia endophthalmitis in the setting of immunosuppression from chronic steroid use. Methods: A case report was conducted. Results: A 79-year-old woman presented with decreased vision with floaters in the left eye. Ophthalmic examination revealed severe inflammation in the anterior chamber, vitreous opacities, and retinal detachment. Vitreous cultures grew Nocardia farcinica without any systemic foci of infection found during further workup. The patient was treated with intravitreal amikacin and oral trimethoprim-sulfamethoxazole, and her retinal detachment was later repaired in the operating room. The patient has since remained stable with no signs of retinal detachment or active infection. Conclusions: Nocardia endophthalmitis is a rare, but serious intraocular infection that should be considered in the differential diagnosis in any immunosuppressed patient, including those receiving steroids, who presents with signs of intraocular infection.

Original languageEnglish (US)
Pages (from-to)141-143
Number of pages3
JournalJournal of Ophthalmic Inflammation and Infection
Volume2
Issue number3
DOIs
StatePublished - Sep 2012

Keywords

  • Endogenous
  • Endophthalmitis
  • Immunosuppression
  • Nocardia
  • Steroids

ASJC Scopus subject areas

  • Ophthalmology
  • Infectious Diseases

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    Chen, L. Y., Kesen, M. R., Ghafourian, A., Nguyen, Q. D., Eberhart, C. G., & Do, D. V. (2012). Isolated endogenous Nocardia endophthalmitis after immunosuppression. Journal of Ophthalmic Inflammation and Infection, 2(3), 141-143. https://doi.org/10.1007/s12348-011-0057-3