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Journal: University Journal of Surgery and Surgical Specialities (Vol.5, No. 5)

Publication Date:

Authors : ;

Page : 75-77

Keywords : Nocardia keratitis Septran Amikacin;

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Nocardia keratitis is an opportunistic and potentially aggressive infection and is believed to be a rare entity. Nocardia are aerobic, gram-positive, non-motile and branching filamentous bacteria. Trauma is the most common predisposing factor for Nocardia keratitis. The clinical picture usually consists of superficial patchy infiltrates, which may be arranged in a wreath pattern. Presence of gram-positive, branching, beaded filaments that stain with 1 acid-fast stain in smears of corneal scrapings is suggestive of Nocardial infection. Nocardia grow on commonly used media as tiny, white, dry colonies. Septran (trimethoprim-sulfamethoxazole) and Amikacin are effective drugs. Once therapy is initiated, the infiltrate responds promptly and resolves, forming a corneal scar. We describe five cases with culture-positive Nocardia keratitis who presented to our ophthalmology department.

Last modified: 2019-06-28 18:18:27