Exogenous Nocardia asteroides endophthalmitis following cataract surgery.
We present a case of Nocardia asteroides endophthalmitis following cataract surgery. It is the second to be reported and the first in which vision has been preserved. Symptoms commenced 5 days after surgery and there followed a chronic relapsing anterior uveitis which lasted for 4 months. Nocardia asteroides was finally cultured from an aqueous aspirate and a combination of specific antimicrobial treatment and surgery resulted in a satisfactory visual outcome. Exogenous nocardial intraocular infection is rare and must be distinguished from fungal infection as the organism is resistant to antifungal agents.
Atkinson
P L
PL
Department of Ophthalmology, King's College Hospital, London, U.K.
Jackson
H
H
Philpott-Howard
J
J
Patel
B C
BC
Aclimandos
W
W
D002387:Cataract Extraction / Q000009:adverse effects*; D009877:Endophthalmitis / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D009617:Nocardia Infections / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D009616:Nocardia asteroides / Q000302:isolation & purification*; D012086:Reoperation