Dave Prachi Abhishek, Agarwal Manisha, Sapra Neelam, Kimmatkar Prajakta
Nepal J Ophthalmol. 2017 Jul;9(18):187-189. doi: 10.3126/nepjoph.v9i2.19267.
Nocardia is a common cause of corneal infections but is a rare cause of choroidal abscess. We report a rare case of choroidal abscess, secondary to Nocardia and its management.
We report a case of choroidal abscess secondary to Nocardia asteroides species in an immunocompetent young male diagnosed by culture positivity of vitreous biopsy. He was managed by oral trimethoprimsulfamethoxazole and intravitreal Amikacin injections.
All the previous reported cases were found to be immunocompromised patients. However, our patient was immunocompetent and the confirmation of diagnosis was done by culture of vitreous biopsy in comparison to a retinochoroidal biopsy, in all other previous cases.
诺卡菌是角膜感染的常见病因，但却是脉络膜脓肿的罕见病因。我们报告一例罕见的由诺卡菌引起的脉络膜脓肿病例及其治疗情况。
我们报告一例免疫功能正常的年轻男性患者，因星形诺卡菌引起脉络膜脓肿，通过玻璃体活检培养阳性得以确诊。患者接受口服甲氧苄啶磺胺甲恶唑及玻璃体内注射阿米卡星治疗。
既往报道的所有病例均为免疫功能低下患者。然而，我们的患者免疫功能正常，与既往所有其他病例通过视网膜脉络膜活检确诊不同，本病例通过玻璃体活检培养确诊。
