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A 70-Year-Old Man With Progressive Eye Redness, Pain, and Visual Loss

Hines, Andrea Green MD*†; Buss, Sarah PhD; Hewlett, Angela MD, MS*

Infectious Diseases in Clinical Practice: September 2015 - Volume 23 - Issue 5 - p e33–e35
doi: 10.1097/IPC.0000000000000257
Case Reports

Nocardia species are gram-positive, filamentous, branching bacteria that are found in water, soil, dust, and decaying vegetation. Infection of the eye with Nocardia may cause keratitis, scleritis, or endophthalmitis. A 70-year-old man presented with progressive left eye redness associated with pain, blurry vision, excessive tearing, and photophobia. An ophthalmologic examination was significant for scleral necrosis and thinning as well as a large corneal infiltrate. The patient was subsequently diagnosed with sclerokeratitis. Fungal cultures obtained from the cornea grew Nocardia abscessus complex/Nocardia exalbida. This case demonstrates that Nocardia should be included in the differential diagnosis of sclerokeratitis.

From the *Division of Infectious Diseases, †Division of Pediatric Infectious Diseases and ‡Department of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE.

Correspondence to: Andrea Green Hines, MD, 985400 Nebraska Medical Center, 42nd & Emile St, Omaha, NE 68198-5400. E-mail:

The authors have no funding or conflicts of interest to disclose.

Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.