Diagnostics and Clinical Care of Nocardia Keratitis

Yıl 2022, Cilt: 12 Sayı: 01, 31 - 34, 15.03.2022

Muna Malik Fahd Kamal Akhtar Khurram Khaliq Bhinder Zouina Sarfraz Ameena Ameena Ali Hashim Zubair Azza Sarfraz Zubair Saleem

https://doi.org/10.5799/jmid.1086199

Öz

ABSTRACT
Nocardia species are obligate aerobic, partially acid-fast, gram-positive bacilli, leading to ophthalmological complications. Because of infrequent presentation and variable clinical pictures of Nocardia corneal ulcers are easily misdiagnosed. We present here an ophthalmological and microbiological tied-in case of a 45-year-old male patient with Nocardial keratitis from Lahore, Punjab, Pakistan. A 45-year-old male patient presented with a corneal ulcer in the right eye, complaining of orbital pain, photophobia, and visual impairment. Based on microbiological findings suggesting Nocardia spp. growth, the patient was treated with Amikacin. Following this, the corneal ulcer was completely recovered. J Microbiol Infect Dis 2022; 12(1):31-34.

Anahtar Kelimeler

Nocardia, corneal ulcer, diagnosis, care, treatment

Kaynakça

• 1. Beaman BL, Beaman L. Nocardia species: host-parasite relationships. Clin Microbiol Reviews 1994; 7:213.
• 2. Rhoads DD, Sintchenko V, Rauch CA, Pantanowitz L. Clinical microbiology informatics. Clin Microbiol Rev 2014; 27:1025-47.
• 3. Meera S, Aishwarya B, Sreelatha S, Nair KP. Nocardia puris: A rare cause of keratitis. Indian J Pathol Microbiol 2021; 64:210-11.
• 4. Soleimani M, Masoumi A, Khodavaisy S, et al. Current diagnostic tools and management modalities of Nocardia keratitis. J Ophthalmic Inflamm Infect 2020; 10:36.
• 5. Soleimani M, Masoumi A, Khodavaisy S, et al. Current diagnostic tools and management modalities of Nocardia keratitis. J Ophthalmic Inflamm Infect 2020; 10:1-6.
• 6. Lalitha P. Nocardia keratitis. Curr Opin Ophthalmol 2019; 20:318–23.
• 7. Johansson B, Fagerholm P, Petranyi G, et al. Diagnostic and therapeutic challenges in a case of amikacin-resistant Nocardia keratitis. Acta Ophthalmol 2017; 95:103–5.
• 8. Kiska DL, Hicks K, Pettit DJ. Identification of medically relevant Nocardia species with an abbreviated battery of tests. J Clin Microbiol 2002; 40:1346-51.