Bilateral intraocular Nocardia asteroides infection
N. A. Sher, C. W. Hill and D. E. Eifrig
A 38-year-old man with hypogammaglobulinemia and pulmonary Nocardia
asteroides infection developed an intraocular Nocardia infection. The
diagnosis was confirmed by examination of a specimen removed at pars plana
vitrectomy. The chorioretinal infection in one eye resolved partially, with
no organisms visible on histopathologic examination of the globe at
autopsy. One month before the patient's death from disseminated nocardial
infection, the previously uninvolved right eye developed a new metastatic
nocardial chorioretinal lesion. This lesion rapidly progressed in size
until the patient's death and showed on postmortem examination the presence
of organisms characteristic of N asteroides.
