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  Vol. 114 No. 9, September 1996 TABLE OF CONTENTS
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Endogeneous Nocardia Subretinal Abscess

Shivinder S. Jolly, MD; Seymour Brownstein, MD
Ottawa, Ontario

Arif Samad, MD
New Orleans, La

Arch Ophthalmol. 1996;114(9):1147-1148.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Nocardia is a gram-positive, weakly acid-fast, filamentous, soil-borne aerobic bacterium that has some morphological and staining features in common with fungi.1,2 Endogenous intraocular nocardiosis is a rarely reported entity.1,2 To our knowledge, the electron microscopic features of intraocular Nocardia have not been reported previously.

Report of a Case.

A 40-year-old black woman with severe renal disease was treated with a cadaveric renal transplant and immunosuppressive medications. Five months later she presented with fever, lethargy, and reduced vision. Funduscopic examination of the right eye disclosed a 4+ vitritis and a 6-mm-diameter well-circumscribed subretinal mass superonasally with an adjacent exudative retinal detachment. A chest radiograph revealed a right upper lobe cavitary lesion. Cranial computed tomography disclosed an occipital infarct, hydrocephalus, and multiple brain abscesses. Meningitis was diagnosed by lumber puncture. A biopsy specimen was taken of the cavitary lung lesion, which showed organisms consistent with Nocardia. She was treated with . . . [Full Text PDF of this Article]



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