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. 2015 Dec;5(1):36.
doi: 10.1186/s12348-015-0067-7. Epub 2015 Nov 25.

Traumatic endophthalmitis caused by Nocardia kruczakiae in a patient with traumatic eye injury

Rafael Barraquer Compte  1   2 , Hernán Martínez-Osorio  3   4 , Gema Carrasco  5 , Betty Lorente  6   7 , Javier Elizalde  8   9 , Sylvia Valdezate  10 , Ramón Lorente  11 , Emilio Iglesias  12 , Juan Antonio Saez-Nieto  13
Affiliations

Traumatic endophthalmitis caused by Nocardia kruczakiae in a patient with traumatic eye injury

Rafael Barraquer Compte et al. J Ophthalmic Inflamm Infect. 2015 Dec.

Abstract

Background: We describe a case of traumatic ocular endophthalmitis caused by Nocardia kruczakiae after vegetable trauma in an immunocompetent child.

Findings: A 5-year-old boy suffered from a trauma with a palm tree leaflet. Two months later, he was diagnosed with traumatic infectious uveitis and intumescent cataract with anterior capsule rupture. Intensive treatment with systemic and topical vancomycin, ceftazidime and methylprednisolone began. After 1 month, he underwent phacoemulsification with intraocular lens implantation (IOL). After some episodes of reactivation, he was diagnosed with traumatic nocardial endophthalmitis from aqueous humour samples. Several operations and specific antibiotic therapy resolved the infection.

Conclusions: In cases of traumatic endophthalmitis and several recurrences, it is extremely useful to make an etiologic diagnosis in order to treat the patient with specific antibiotics.

Keywords: Bacterial endophthalmitis; Multi-targeted identification; Nocardia kruczakiae.

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Figures

Fig. 1
Fig. 1
Left eye N. krckzakiae endophthalmitis. The slit lamp examination shows yellowish nodules in anterior chamber above iris and intraocular lens
See this image and copyright information in PMC

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