Basti S, Gopinathan U, Gupta S
Cornea Services, L. V. Prasad Eye Institute, Hyderabad, India.
Cornea. 1994 May;13(3):274-6. doi: 10.1097/00003226-199405000-00015.
Nocardial necrotizing scleritis is uncommon, but potentially sight threatening. We report the occurrence of necrotizing scleritis in a 58-year-old farm worker after he sustained trauma with vegetable matter. Microbiological studies isolated Nocardia asteroides, sensitive only to cefazolin. Clinically the patient responded well to this drug, attaining a final visual acuity of 20/40, with complete resolution of the scleritis. Early isolation and testing for antibiotic sensitivity were responsible for the successful management of this patient.
