Abstract
BackgroundWe describe a case of traumatic ocular endophthalmitis caused by Nocardia kruczakiae after vegetable trauma in an immunocompetent child.FindingsA 5-year-old boy suffered from a trauma with a palm tree leaflet. Two months later, he was diagnosed with traumatic infectious uveitis and intumescent cataract with anterior capsule rupture. Intensive treatment with systemic and topical vancomycin, ceftazidime and methylprednisolone began. After 1 month, he underwent phacoemulsification with intraocular lens implantation (IOL).After some episodes of reactivation, he was diagnosed with traumatic nocardial endophthalmitis from aqueous humour samples. Several operations and specific antibiotic therapy resolved the infection.ConclusionsIn cases of traumatic endophthalmitis and several recurrences, it is extremely useful to make an etiologic diagnosis in order to treat the patient with specific antibiotics.
Highlights
We describe a case of traumatic ocular endophthalmitis caused by Nocardia kruczakiae after vegetable trauma in an immunocompetent child
In cases of traumatic endophthalmitis and several recurrences, it is extremely useful to make an etiologic diagnosis in order to treat the patient with specific antibiotics
Ocular infections caused by Nocardia species previously unknown in immunocompetent patients have recently been reported [6, 7]
Summary
We describe a case of traumatic ocular endophthalmitis caused by Nocardia kruczakiae after vegetable trauma in an immunocompetent child. Inflammation continued systemic and topical clarithromycin plus antimycotic treatment and antiglaucoma eye drops were prescribed. Anterior vitrectomy and IOL and capsular bag removal were performed, adding intraocular vancomycin and ceftazidime injection. The patient showed reduction of inflammation, but retinal detachment with macular involvement was diagnosed.
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