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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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Bibliographic Details
Published in:Case reports in ophthalmological medicine 2021, Vol.2021, p.8876864-7
Main Authors: Cunha, Ana Maria, Silva, Marta, Pedrosa, Ana Catarina, Falcão-Reis, Fernando, Figueira, Luís
Format: Article
Language:English
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Summary: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.
ISSN:2090-6722
2090-6730
DOI:10.1155/2021/8876864