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.
Basti
S
S
Cornea Services, L. V. Prasad Eye Institute, Hyderabad, India.
Gopinathan
U
U
Gupta
S
S
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