RESUMO
We report a case of endogenous nocardial endophthalmitis in a 32-year-old man with systemic lupus erythematosus. The patient developed pulmonary and ocular disease while on systemic corticosteroid and cyclophosphamide treatment. The intraocular infection progressed to a scleral fistula, and was treated with pars plana vitrectomy, lensectomy, intravitreous and intravenous antibacterial therapy. The diagnosis of Nocardia asteroides was made by isolation and growth of colonies from samples of a vitreous specimen and bronchioloalveolar aspirates. The eye became phthisical, it was eviscerated, and histopathogical examination was carried out.
Se describe un caso de endoftalmitis endógena por nocardia en un varón de 32 años con diagnóstico de lupus eritematoso sistémico. El paciente desarrolló compromiso pulmonar y ocular luego de meses de tratamiento con corticoides y ciclofosfamida. La infección intraocular, de rápida evolución a fístula escleral, recibió tratamiento con vitrectomía, lensectomía y terapia antibacteriana intravítrea y endovenosa. Se aislaroncolonias de Nocardia asteroides a partir de material vítreo y aspirado bronquioloalveolar. El ojo afectado evolucionó a ptisis bulbi y fue posteriormente eviscerado, y se realizó el estudio histopatológico.
Assuntos
Adulto , Humanos , Masculino , Endoftalmite/microbiologia , Lúpus Eritematoso Sistêmico/complicações , Nocardia asteroides , Nocardiose , Endoftalmite/terapia , Nocardiose/terapia , VitrectomiaRESUMO
The case presented is a subperiosteal implantation in a human being, in chrome cobalt mollybdenum, with two years and a half of evolution. It has been studied from the morphological point of view on being extracted for the patients request, because of a prosthetic maladjustment; the existence of a epitheliarl adhesion and the subjacen tissue reaction have been documented.