Document Detail

Nocardia brasiliensis endophthalmitis in a patient with an exposed Ahmed glaucoma drainage implant.
MedLine Citation:
PMID:  23323584     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To report a case of endophthalmitis due to Nocardia brasiliensis in an eye with an exposed, infected Ahmed glaucoma drainage implant (GDI).
DESIGN: Retrospective case report.
METHODS: A patient with an exposed GDI experienced recurrent episodes of endophthalmitis despite repeated intravitreal injections of antibiotics and steroids. The tube was initially repositioned and finally removed.
RESULTS: Whereas repeated cultures from the anterior chamber and vitreous were negative, cultures from the removed tube grew Nocardia brasiliensis. Despite oral trimethoprim-sulfamethoxazole and intravitreal amikacin the eye became phthisical and lost light perception.
CONCLUSIONS: An exposed GDI may lead to endophthalmitis due to Nocardia brasiliensis and may require explantation to establish a diagnosis.
Michael W Stewart; James P Bolling; Rick E Bendel
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Publication Detail:
Type:  Case Reports; Letter    
Journal Detail:
Title:  Ocular immunology and inflammation     Volume:  21     ISSN:  1744-5078     ISO Abbreviation:  Ocul. Immunol. Inflamm.     Publication Date:  2013  
Date Detail:
Created Date:  2013-01-17     Completed Date:  2013-07-02     Revised Date:  2013-07-15    
Medline Journal Info:
Nlm Unique ID:  9312169     Medline TA:  Ocul Immunol Inflamm     Country:  England    
Other Details:
Languages:  eng     Pagination:  69-70     Citation Subset:  IM    
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MeSH Terms
Anterior Chamber / microbiology*
Diagnosis, Differential
Endophthalmitis / diagnosis,  etiology,  microbiology*
Eye Infections, Bacterial / diagnosis,  etiology,  microbiology*
Glaucoma Drainage Implants / adverse effects,  microbiology*
Glaucoma, Angle-Closure / surgery
Nocardia / isolation & purification*
Prosthesis-Related Infections / diagnosis,  etiology,  microbiology*
Retrospective Studies
Erratum In:
Ocul Immunol Inflamm. 2013 Jun;21(3):255

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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