A. Verner, Asad F. Durrani, R. Kowalski, V. Jhanji
{"title":"A Case of Nocardia farcinica Keratitis in a Pediatric Contact Lens Wearer.","authors":"A. Verner, Asad F. Durrani, R. Kowalski, V. Jhanji","doi":"10.1097/ICL.0000000000000594","DOIUrl":null,"url":null,"abstract":"PURPOSE\nTo report a case of Nocardia farcinica keratitis in a pediatric contact lens wearer.\n\n\nMETHODS\nCase report and literature review.\n\n\nRESULTS\nA 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.\n\n\nCONCLUSIONS\nNocardia 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.","PeriodicalId":12216,"journal":{"name":"Eye & Contact Lens: Science & Clinical Practice","volume":"6 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"5","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Eye & Contact Lens: Science & Clinical Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/ICL.0000000000000594","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 5
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.
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