Nocardia keratitis in a human immunodeficiency virus patient
Background: The development of Nocardia keratitis in a patient with human immunodeficiency virus infection is rare, and we could find no cases reported in the literature. Case: A 48-year-old woman who had human immunodeficiency virus infection presented with decreased visual acuity, redness, and irr...
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2014
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th-cmuir.6653943832-41932014-08-30T02:35:46Z Nocardia keratitis in a human immunodeficiency virus patient Chaidaroon W. Tantayakom T. Background: The development of Nocardia keratitis in a patient with human immunodeficiency virus infection is rare, and we could find no cases reported in the literature. Case: A 48-year-old woman who had human immunodeficiency virus infection presented with decreased visual acuity, redness, and irritation in the right eye. Observations: Initially, the diagnosis was fungal keratitis, and she was treated with 0.3% amphotericin B eye drops and oral fluconazole for 1 month without improvement. Then, all former drugs were discontinued, and a corneal scraping was carried out. The culture result disclosed Nocardia asteroides, and after treatment with 10% sulfacetamide eye drops and oral trimethoprim-sulfamethoxazole, the keratitis subsided dramatically. Conclusions: The treatment result for Nocardia keratitis in a human immunodeficiency virus patient was favorable after intensive use of 10% sulfacetamide eyedrops. Nocardia keratitis should be kept in mind as a possible causative organism when antifungal therapy fails in a keratitis case. © Japanese Ophthalmological Society 2004. 2014-08-30T02:35:46Z 2014-08-30T02:35:46Z 2004 Article 00215155 10.1007/s10384-003-0046-7 15175921 JJOPA http://www.scopus.com/inward/record.url?eid=2-s2.0-2542457688&partnerID=40&md5=53aa4580d0b5617cdad8dc88d94c26bd http://www.ncbi.nlm.nih.gov/pubmed/15175921 http://cmuir.cmu.ac.th/handle/6653943832/4193 English |
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Background: The development of Nocardia keratitis in a patient with human immunodeficiency virus infection is rare, and we could find no cases reported in the literature. Case: A 48-year-old woman who had human immunodeficiency virus infection presented with decreased visual acuity, redness, and irritation in the right eye. Observations: Initially, the diagnosis was fungal keratitis, and she was treated with 0.3% amphotericin B eye drops and oral fluconazole for 1 month without improvement. Then, all former drugs were discontinued, and a corneal scraping was carried out. The culture result disclosed Nocardia asteroides, and after treatment with 10% sulfacetamide eye drops and oral trimethoprim-sulfamethoxazole, the keratitis subsided dramatically. Conclusions: The treatment result for Nocardia keratitis in a human immunodeficiency virus patient was favorable after intensive use of 10% sulfacetamide eyedrops. Nocardia keratitis should be kept in mind as a possible causative organism when antifungal therapy fails in a keratitis case. © Japanese Ophthalmological Society 2004. |
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Article |
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Chaidaroon W. Tantayakom T. |
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Chaidaroon W. Tantayakom T. Nocardia keratitis in a human immunodeficiency virus patient |
author_facet |
Chaidaroon W. Tantayakom T. |
author_sort |
Chaidaroon W. |
title |
Nocardia keratitis in a human immunodeficiency virus patient |
title_short |
Nocardia keratitis in a human immunodeficiency virus patient |
title_full |
Nocardia keratitis in a human immunodeficiency virus patient |
title_fullStr |
Nocardia keratitis in a human immunodeficiency virus patient |
title_full_unstemmed |
Nocardia keratitis in a human immunodeficiency virus patient |
title_sort |
nocardia keratitis in a human immunodeficiency virus patient |
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2014 |
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http://www.scopus.com/inward/record.url?eid=2-s2.0-2542457688&partnerID=40&md5=53aa4580d0b5617cdad8dc88d94c26bd http://www.ncbi.nlm.nih.gov/pubmed/15175921 http://cmuir.cmu.ac.th/handle/6653943832/4193 |
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