Early Diagnosis of Nocardia asteroides Endophthalmitis by Retinal Biopsy: Case Report and Review

摘要: Hematogenous nocardial endophthalmitis is a rare but devastating infection. Of total of 10 cases (one described for the first time and nine reported previously in Englishlanguage literature), lung appeared to be primary focus infection eight (80%). Six (60%) occurred individuals receiving corticosteroid therapy; these had undergone renal transplantation (two cases) or cardiac case) underlying conditions that included lymphoma chronic active hepatitis case). In two immunocompetent individuals, followed dissemination from traumatic wounds. Common clinical findings were rapid decrease visual acuity eye pain. All resulted blindness involved eye; five patients died not long after diagnosis. present report (the transplant recipient), favorable outcome with restoration vision early diagnosis through recently developed technique fine-needle retinal biopsy. Nocardial rarely occurrence. Infection may develop minor trauma healthy people following hematogenous dissemination, typically pulmonary focus, immunocompromised individuals. has been associated high mortality, survivors have invariably most underwent enucleation. We case Nocardia asteroides heart recipient which by biopsy outcome. Additionally, we reviewed other reports