Nocardia Subretinal Abscess: A Rare and Challenging Case Report

• Type: Article in International Scientific Journal
• Date: 2021

Authors

Ana Cunha (Author) FMUP; Silva, M (Author) Other; Pedrosa, AC (Author) FMUP; Falcão-Reis F (Author) FMUP; Figueira, L (Author) FMUP

Journal

Title: CASE REPORTS IN OPHTHALMOLOGICAL MEDICINE

Vol. 2021

Pages: 1-7

ISSN: 2090-6722

Indexing

ISI Web of Knowledge - 0 Citations

Other information

Authenticus ID: P-00T-H4E

DOI: 10.1155/2021/8876864

Abstract (EN): 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.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 7