Contact Lens-associated Nocardial Necrotizing Scleritis.
10.3341/kjo.2013.27.4.291
- Author:
Ryan B RUSH
1
Author Information
1. Southwest Retina Specialists, Amarillo, TX, USA. Ryanbradfordrush21@hotmail.com
- Publication Type:Case Reports
- Keywords:
Contact lenses;
Scleritis
- MeSH:
Anti-Bacterial Agents/therapeutic use;
Contact Lenses/*adverse effects/*microbiology;
Humans;
Male;
Middle Aged;
Nocardia Infections/*diagnosis/drug therapy;
Nocardia asteroides/*isolation & purification;
Scleritis/drug therapy/*microbiology
- From:Korean Journal of Ophthalmology
2013;27(4):291-293
- CountryRepublic of Korea
- Language:English
-
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.
