Contact Lens-associated Nocardial Necrotizing Scleritis
Korean Journal of Ophthalmology
;
: 291-293, 2013.
Article
in English
| WPRIM
| ID: wpr-145667
ABSTRACT
A 52 year-old, contact lens-wearing man presented with progressive right eye pain and redness for one month. He had been evaluated and treated for necrotizing scleritis by multiple eye care specialists prior to presentation. He underwent a complete systemic work-up for both autoimmune and infectious causes of scleritis, including a culture. The culture revealed heavy growth of Nocardia asteroides complexes. The patient was treated with topical amikacin and oral Bactrim. Following several weeks of antibiotic treatment, the patient's infection resolved completely, and his visual acuity returned to baseline status. Nocardia is a rare but potentially devastating cause of necrotizing scleritis that may affect contact lens wearers without an associated keratitis. Prompt recognition and early treatment with appropriate antimicrobial agents are critical to achieve a favorable outcome.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Scleritis
/
Contact Lenses
/
Anti-Bacterial Agents
/
Nocardia asteroides
/
Nocardia Infections
Limits:
Humans
/
Male
Language:
English
Journal:
Korean Journal of Ophthalmology
Year:
2013
Type:
Article
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