Nocardial necrotizing scleritis after trauma. Successful outcome using cefazolin.
Nocardial necrotizing scleritis is uncommon, but potentially sight threatening. We report the occurrence of necrotizing scleritis in a 58-year-old farm worker after he sustained trauma with vegetable matter. Microbiological studies isolated Nocardia asteroides, sensitive only to cefazolin. Clinically the patient responded well to this drug, attaining a final visual acuity of 20/40, with complete resolution of the scleritis. Early isolation and testing for antibiotic sensitivity were responsible for the successful management of this patient.
Cornea Services, L. V. Prasad Eye Institute, Hyderabad, India.
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S
Basti
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U
Gopinathan
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Gupta
D002437:Cefazolin / Q000627:therapeutic use*; D015818:Eye Infections, Bacterial / Q000188:drug therapy*; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D009617:Nocardia Infections / Q000188:drug therapy*; D009616:Nocardia asteroides / Q000302:isolation & purification; D012590:Sclera / Q000293:injuries* / Q000382:microbiology; D015423:Scleritis / Q000188:drug therapy* / Q000382:microbiology; D016896:Treatment Outcome; D014792:Visual Acuity
D002437:Cefazolin