A case of amniotic membrane transplantation in non-healing Nocardia asteroides keratitis
نویسندگان
چکیده
A patient with severe non-healing microscopically proven Nocardia keratitis was treated with maximal topical amikacin followed by amniotic membrane transplantation (AMT) 2 months later (single-layer epithelial side-down). Epithelial healing was achieved, but neovascularization continued. This case report indicates that AMT combined with topical antibiotic provides pain relief and allows epithelial healing in severe Nocardia keratitis.
منابع مشابه
Observation of Nocardia Asteroides Complex in a Patient with Corneal Ulceration: The First Case Report from Iran
Background & Aims: Nocardia asteroides is gram-positive, partially acid-fast, aerobic actinomycetes which cause a wide range of skin infections, and pulmonary, cerebral, and ocular infection. Case Presentation: A 60-year-old man with diabetes presented with ocular ulcers in 2015. Through the medical records evaluation, physical examination, and biochemical evaluation of the patient, Nocardia as...
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متن کاملNocardia asteroides keratitis.
Nocardia asteroides has been reported as the cause of keratitis in only 7 cases and of other ocular disease in another 12 cases. We report a case of N. asteroides keratitis that presented 3 weeks after rural trauma and progressed despite trials of appropriate antibiotics. Seven weeks after the origianl injury a successful conjunctival flap was placed over the cornea. The morphology and the sens...
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Nocardia asteroides is a rare cause of keratitis usually associated with trauma. We report a case of corneal ulceration caused by N. asteroides in a patient with leprosy. This is the first case report of nocardial keratitis from Southeast Asia. The diminished corneal sensation in a patient with leprosy could be a predisposing factor for development or exacerbation of corneal ulceration.
متن کامل[Nocardia asteroides keratitis].
Problems in management of ulcerative keratitis may arise from delays in diagnosis and from inadequate response to treatment. In the present case, a corneal injury was followed by Nocardia asteroides keratitis. The organism isolated was sensitive in vitro to both sulphonamides and penicillin, but there was no satisfactory clinical improvement with sulphonamides alone. Good response to treatment ...
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