Case ReportA Case of Nocardia farcinica Keratitis in a Pediatric Contact Lens WearerVerner, Aimee M.D.; Durrani, Asad M.D.; Kowalski, Regis P. M.D.; Jhanji, Vishal M.D.Author Information Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, PA Address correspondence to Vishal Jhanji, M.D., Department of Ophthalmology, University of Pittsburgh, School of Medicine, 203 Lothrop Street, Pittsburgh, PA 15213; e-mail: firstname.lastname@example.org. The authors have no funding or conflicts of interest to disclose. Accepted February 04, 2019 Eye & Contact Lens: Science & Clinical Practice: March 2020 - Volume 46 - Issue 2 - p e11-e12 doi: 10.1097/ICL.0000000000000594 Buy Metrics Abstract Purpose: To report a case of Nocardia farcinica keratitis in a pediatric contact lens wearer. Methods: Case report and literature review. Results: A pediatric contact lens wearer was initially misdiagnosed with a poorly healing corneal abrasion after swimming with his contact lenses. On examination at our center, he was found to have a 2.5 by 2.5 mm corneal infiltrate with feathery margins. Microbiology revealed N. farcinica keratitis, which was treated with topical amikacin. The patient returned to his baseline visual acuity after treatment. Conclusions: Nocardia keratitis can be misdiagnosed because of its low prevalence, especially in young patients. Prompt diagnosis is important for proper management in these cases. The infection resolved in our patient with prompt diagnosis and treatment with topical amikacin eye drops. © 2020 Contact Lens Association of Ophthalmologists, Inc.