Nocardia keratitis: A clinical diagnosis with successful outcome.
Oman J Ophthalmol
; 17(2): 261-263, 2024.
Article
in En
| MEDLINE
| ID: mdl-39132098
ABSTRACT
Nocardia keratitis is mostly seen in patients with alcoholism, malnutrition, or HIV. Its chronic waxing-and-waning course makes it difficult to diagnose. A 53-year-old male presented with pain and redness in his right eye for the past 3 weeks. The cornea had paracentral ulcer with stromal infiltrates and multiple satellite lesions giving wreath-like appearance suggestive of Nocardia. After corneal scraping, fortified amikacin, moxifloxacin, and cycloplegics were started. Gram stain revealed filamentous, branching Gram-positive bacteria and acid-fast on Ziehl-Neelsen stain confirming our clinical diagnosis. Ulcer completely resolved over 6 weeks. Thus, a high index of clinical suspicion which was further backed by microbiological confirmation aided in expedient management ensuring a successful outcome.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Oman J Ophthalmol
Year:
2024
Document type:
Article
Affiliation country:
India
Country of publication:
India