Nocardia Subretinal Abscess: A Rare and Challenging Case Report
Purpose. To describe a positive clinical response of a patient with submacular Nocardia abscess due to a rapid and efficient treatment. Case report. We describe a case of a 50-year-old man with a painless visual decline of the left eye. Four years later, he had been diagnosed with systemic nocardios...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2021/8876864 |
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| author | Ana Maria Cunha Marta Silva Ana Catarina Pedrosa Fernando Falcão-Reis Luís Figueira |
| author_facet | Ana Maria Cunha Marta Silva Ana Catarina Pedrosa Fernando Falcão-Reis Luís Figueira |
| author_sort | Ana Maria Cunha |
| collection | DOAJ |
| description | Purpose. To describe a positive clinical response of a patient with submacular Nocardia abscess due to a rapid and efficient treatment. Case report. We describe a case of a 50-year-old man with a painless visual decline of the left eye. Four years later, he had been diagnosed with systemic nocardiosis. Examination of the left eye revealed a submacular white mass with fluffy borders and another smaller white lesion, with well-defined borders, in the inferior temporal vascular arch. A systemic antibiotic treatment with SMX-TMP and intravenous imipenem and a single intravitreal injection of bevacizumab was performed. Conclusion. Prompt diagnosis and treatment ensured an expeditious resolution of the abscess and significant improvement of visual acuity. The diagnostic approach of a high index of suspicion coupled with directed treatment is required when dealing with subretinal inflammatory lesions. |
| format | Article |
| id | doaj-art-011f642ddfbf4bc7b2e3887cc1a0eda2 |
| institution | Kabale University |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-011f642ddfbf4bc7b2e3887cc1a0eda22025-02-03T05:44:13ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302021-01-01202110.1155/2021/88768648876864Nocardia Subretinal Abscess: A Rare and Challenging Case ReportAna Maria Cunha0Marta Silva1Ana Catarina Pedrosa2Fernando Falcão-Reis3Luís Figueira4Department of Ophthalmology, Centro Hospitalar Universitário de São João, Porto, PortugalDepartment of Ophthalmology, Centro Hospitalar Universitário de São João, Porto, PortugalDepartment of Ophthalmology, Centro Hospitalar Universitário de São João, Porto, PortugalDepartment of Ophthalmology, Centro Hospitalar Universitário de São João, Porto, PortugalDepartment of Ophthalmology, Centro Hospitalar Universitário de São João, Porto, PortugalPurpose. To describe a positive clinical response of a patient with submacular Nocardia abscess due to a rapid and efficient treatment. Case report. We describe a case of a 50-year-old man with a painless visual decline of the left eye. Four years later, he had been diagnosed with systemic nocardiosis. Examination of the left eye revealed a submacular white mass with fluffy borders and another smaller white lesion, with well-defined borders, in the inferior temporal vascular arch. A systemic antibiotic treatment with SMX-TMP and intravenous imipenem and a single intravitreal injection of bevacizumab was performed. Conclusion. Prompt diagnosis and treatment ensured an expeditious resolution of the abscess and significant improvement of visual acuity. The diagnostic approach of a high index of suspicion coupled with directed treatment is required when dealing with subretinal inflammatory lesions.http://dx.doi.org/10.1155/2021/8876864 |
| spellingShingle | Ana Maria Cunha Marta Silva Ana Catarina Pedrosa Fernando Falcão-Reis Luís Figueira Nocardia Subretinal Abscess: A Rare and Challenging Case Report Case Reports in Ophthalmological Medicine |
| title | Nocardia Subretinal Abscess: A Rare and Challenging Case Report |
| title_full | Nocardia Subretinal Abscess: A Rare and Challenging Case Report |
| title_fullStr | Nocardia Subretinal Abscess: A Rare and Challenging Case Report |
| title_full_unstemmed | Nocardia Subretinal Abscess: A Rare and Challenging Case Report |
| title_short | Nocardia Subretinal Abscess: A Rare and Challenging Case Report |
| title_sort | nocardia subretinal abscess a rare and challenging case report |
| url | http://dx.doi.org/10.1155/2021/8876864 |
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