Rinsho Ganka Volume 60, Issue 3 (March 2006)

A case of Nocardia asteroides keratitis Rie Ochi 1 , Takashi Suzuki 1 , Yui Kimura 1 , Masa-aki Kikuchi 1 , Hitoshi Miyamoto 2 , Toshihiko Uno 1 , Yuichi Ohashi 1 1Dept of Ophthalmol,Sch of Med Ehime Univ 2Labo for Clin Invest,Ehime Univ Hosp pp.379-382
Published Date 2006/3/15
DOI https://doi.org/10.11477/mf.1410100394
  • Abstract
  • Look Inside
  • Reference

An 82-year-old woman was injured in her left eye by a branch of a tree. She developed pain and impaired vision in the affected eye 2 months later. No improvement set in after initial treatment as bacterial keratitis and later as herpetic keratitis. She was then referred to us 7 months after initial injury. Her corrected visual acuity was 0.7 right and light perception left. Her left cornea showed numerous ill-defined infiltrates and epithelial defects. Hypopyon was also present. Corneal scraping showed filamentous fungi suggestive of keratomycosis. After antifungal agents proved futile,Nocardia asteroides was isolated from cultured corneal scrapings. Topical minocycline induced clinical cure one month later. This case illustrates the importance of differentiation from keratomycosis in the diagnosis of Nocardia keratitis.

Copyright © 2006, Igaku-Shoin Ltd. All rights reserved.


60巻3号 (2006年3月)
電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院