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- Title
UNUSUAL CASE OF NOCARDIA KERATITIS.
- Authors
A., Azreen Redzal; S., Bakiah; E., Zunaina; M. N., Siti Suraiya; H., Habsah
- Abstract
INTRODUCTION: Nocardia spp is a rare aetiological agent of corneal ulcer especially in the absence of history of trauma. We report a case of an atypical presentation of corneal ulcer caused by Norcardia spp. CASE REPORT: A 19-years old Malay man, a non contact lens user with a previous good vision, presented with a history of non traumatic painful reduced vision with redness of the right eye for two weeks duration. He noted a cornea opacity one week after the onset of the sympoms. He was initially treated by a general practitioner without improvement and sought further treatment at Hospital USM. Ocular examination showed paracentral ulcer, with minimal epithelial defect which showed a clearly demarcated stromal infiltration, surrounded by microabscess at the ulcer edge. Topical gentamicin was commenced empirically and showed rapid clinical response. Cornea scrapping was sent for culture and sensitivity and isolated Nocardia species, The patient's condition improved remarkably and the ulcer healed with cornea opacity the visual axis. CONCLUSION: This case illustrates an infection by Nocardia species which showed unusual features in a non-traumatic case of cornea ulcer. Appropriate management with gentamicin has showed rapid and remarkable outcome.
- Subjects
KERATITIS; NOCARDIA; CORNEAL ulcer; GENTAMICIN; CORNEA diseases; EYE inflammation; THERAPEUTICS
- Publication
Malaysian Journal of Medical Sciences, 2006, Vol 13, p141
- ISSN
1394-195X
- Publication type
Article