Abstract
Nocardia keratitis is mostly seen in patients with alcoholism, malnutrition, or HIV. Its chronic waxing-and-waning course makes it difficult to diagnose. A 53-year-old male presented with pain and redness in his right eye for the past 3 weeks. The cornea had paracentral ulcer with stromal infiltrates and multiple satellite lesions giving wreath-like appearance suggestive of Nocardia. After corneal scraping, fortified amikacin, moxifloxacin, and cycloplegics were started. Gram stain revealed filamentous, branching Gram-positive bacteria and acid-fast on Ziehl-Neelsen stain confirming our clinical diagnosis. Ulcer completely resolved over 6 weeks. Thus, a high index of clinical suspicion which was further backed by microbiological confirmation aided in expedient management ensuring a successful outcome.
Keywords
Publication details
- DOI
- 10.4103/ojo.ojo_175_23
- Journal
- Oman Journal of Ophthalmology, 17(2), 261-263
- Publisher
- Medknow Publications
- Open access
- Gold open access
Cite this article
APA 7
Srujana, D., Shankar, S., Anand, K. B., Agrawal, M., Singhal, A., Kumar, A., & Kochhar, D. (2024). Nocardia keratitis: A clinical diagnosis with successful outcome. Oman Journal of Ophthalmology, 17(2), 261-263. https://doi.org/10.4103/ojo.ojo_175_23
MLA 9
Srujana, Dubbaka, et al. "Nocardia keratitis: A clinical diagnosis with successful outcome." Oman Journal of Ophthalmology, vol. 17, no. 2, 2024, pp. 261-263. https://doi.org/10.4103/ojo.ojo_175_23.
Chicago (author–date)
Srujana, Dubbaka, Sandeep Shankar, Kavita Bala Anand, Mohini Agrawal, Aanchal Singhal, Ashok Kumar, and Divya Kochhar. 2024. "Nocardia keratitis: A clinical diagnosis with successful outcome." Oman Journal of Ophthalmology 17 (2): 261-263. https://doi.org/10.4103/ojo.ojo_175_23.
Harvard
Srujana, D., Shankar, S., Anand, K. B., Agrawal, M., Singhal, A., Kumar, A. and Kochhar, D. (2024) 'Nocardia keratitis: A clinical diagnosis with successful outcome', Oman Journal of Ophthalmology, 17(2), pp. 261-263. doi:10.4103/ojo.ojo_175_23.
Vancouver
Srujana D, Shankar S, Anand KB, Agrawal M, Singhal A, Kumar A, et al. Nocardia keratitis: A clinical diagnosis with successful outcome. Oman Journal of Ophthalmology. 2024;17(2):261-263. doi:10.4103/ojo.ojo_175_23
IEEE
D. Srujana, S. Shankar, K. B. Anand, M. Agrawal, A. Singhal, A. Kumar, and D. Kochhar, "Nocardia keratitis: A clinical diagnosis with successful outcome," Oman Journal of Ophthalmology, vol. 17, no. 2, pp. 261-263, 2024, doi: 10.4103/ojo.ojo_175_23.