Nocardia asteroides necrotizing scleritis associated with subtenon triamcinolone acetonide injection.
OBJECTIVE
To report a case of Nocardia asteroides infection after subtenon triamcinolone acetonide injection.


METHODS
Case report.


RESULTS
An 80-year old female received a subtenon triamcinolone acetonide injection for postcataract surgery cystoid macular edema. Shortly after, the patient developed a chronic red eye that progressed to a fulminant necrotizing scleritis. Eventual scleral biopsy revealed Nocardia asteroides infection, which improved after 5 months of systemic antibiotic therapy.


CONCLUSIONS
Subtenon triamcinolone acetonide injection should be recognized as a cause of serious infectious scleritis.
Seth
Rajeev K
RK
Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Connecticut 06511, USA.
Gaudio
Paul A
PA
D000369:Aged, 80 and over; D000583:Amikacin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002442:Ceftazidime / Q000627:therapeutic use; D003238:Connective Tissue; D004359:Drug Therapy, Combination; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage*; D006801:Humans; D007267:Injections / Q000009:adverse effects*; D007429:Intraocular Pressure; D008269:Macular Edema / Q000188:drug therapy; D009617:Nocardia Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D009616:Nocardia asteroides / Q000302:isolation & purification*; D011112:Polymyxin B / Q000627:therapeutic use; D015423:Scleritis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D014222:Triamcinolone Acetonide / Q000008:administration & dosage*; D014295:Trimethoprim / Q000627:therapeutic use; D014792:Visual Acuity
D000900:Anti-Bacterial Agents; D005938:Glucocorticoids; D000583:Amikacin; D002442:Ceftazidime; D014295:Trimethoprim; D014222:Triamcinolone Acetonide; D011112:Polymyxin B