Case Report: Endogenous Nocardial Endophthalmitis in a Renal Transplant Recipient.
- Author:
Hye Ryun PARK
1
;
Young Hee YOUN
;
Jun Hong SOHN
Author Information
1. Department of Ophthalmology, University of Ulsan, College of Medicine, Asan Medical Center, Korea.
- Publication Type:Case Report
- Keywords:
Endophthalmitis;
Nocarida infection;
Renal transplantation
- MeSH:
Abscess;
Adult;
Anterior Chamber;
Anti-Bacterial Agents;
Brain;
Endophthalmitis*;
Humans;
Immunocompromised Host;
Inflammation;
Kidney Transplantation;
Korea;
Lung;
Nocardia;
Nocardia Infections;
Retinaldehyde;
Transplantation*;
Vision, Low
- From:Journal of the Korean Ophthalmological Society
2003;44(4):998-1001
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of endogenous Nocardia endophthalmitis developed in an immunocompromized patient. METHODS: Case report. RESULTS: A 25 year-old man with terminal stage renal disease who was treated with renal transplantation and immunosuppressive medications, presented with reduced vision in his right eye. Ocular examination showed inflammation of anterior chamber, vitreous opacity and subretinal abscess. Prior to ocular symptom, he had been diagnosed to have Nocarida abscess in the lung, brain and soft tissue. He was treated with systemic antibiotics (Imipenam, TMP/SMX). Retinal lesion was improved to achieve 20/200 vision. CONCLUSIONS: We experienced a case of endogenous endophthalmitis due to systemic Nocardia infection in an immunocompromised patient. To our knowledge, this case was the first report of endogenous Nocardia endophthalmitis in Korea.
