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CASE REPORT
Year : 2020  |  Volume : 34  |  Issue : 1  |  Page : 50-52

Nocardia endophthalmitis in a child: Distinct clinical and imaging features on orbital CT scan


1 Oculoplasty and Ocular Oncology Services, Dr Shroff's Charity Eye Hospital, New Delhi, India
2 Ocular Microbiology and Pathology Services, Dr Shroff's Charity Eye Hospital, New Delhi, India
3 Pediatric Services, Dr Shroff's Charity Eye Hospital, Daryaganj, New Delhi, India

Correspondence Address:
Sweety Tiple
1504, Tower 21, Lotus Boulevard, Sector 100, Noida - 201 304, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-4534.301164

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Nocardia is a rare cause of endophthalmitis in immunocompetent individuals with poor visual outcomes. We, herein report a 15 month otherwise healthy child, who presented with hyphema, vitreous hemorrhage and secondary glaucoma following a vague history of trauma in the left eye 2 months before presentation. He presented a week later with features of panophthalmitis which were confirmed on B-scan and orbital CT scan. CT scan with contrast revealed the presence of multiple ring enhancing abscesses in the vitreous cavity and also in the intraconal space. Evisceration was done and smear and cultures revealed Nocardia. Rare presentation in a healthy pediatric patient and typical CT scan findings are discussed.


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