title: Isolated endogenous Nocardia endophthalmitis after immunosuppression.
abstract: OBJECTIVE
  This study is aimed to report a case of endogenous Nocardia endophthalmitis in the setting of immunosuppression from chronic steroid use.
  
  
  METHODS
  A case report was conducted.
  
  
  RESULTS
  A 79-year-old woman presented with decreased vision with floaters in the left eye. Ophthalmic examination revealed severe inflammation in the anterior chamber, vitreous opacities, and retinal detachment. Vitreous cultures grew Nocardia farcinica without any systemic foci of infection found during further workup. The patient was treated with intravitreal amikacin and oral trimethoprim-sulfamethoxazole, and her retinal detachment was later repaired in the operating room. The patient has since remained stable with no signs of retinal detachment or active infection.
  
  
  CONCLUSIONS
  Nocardia endophthalmitis is a rare, but serious intraocular infection that should be considered in the differential diagnosis in any immunosuppressed patient, including those receiving steroids, who presents with signs of intraocular infection.
authors.affiliation: The Wilmer Eye Institute, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Maumenee 745, Baltimore, MD, 21287, USA.
authors.forename: Lisa Y
authors.initials: LY
authors.lastname: Chen
authors.forename: Muge R
authors.initials: MR
authors.lastname: Kesen
authors.forename: Abdalhossein
authors.initials: A
authors.lastname: Ghafourian
authors.forename: Quan D
authors.initials: QD
authors.lastname: Nguyen
authors.forename: Charles G
authors.initials: CG
authors.lastname: Eberhart
authors.forename: Diana V
authors.initials: DV
authors.lastname: Do