国际眼科杂志2011，Vol.11Issue(1)：8-10,3.DOI:10.3969/j.issn.1672-5123.2011.01.004
诺卡式菌性角膜炎表现为盘状角膜炎1例
Nocardia keratitis presenting as viral disciform keratitis, a case report
Nor-Sharina Y 1Lee KF 1Siti Hawa H 2Zunaina E1
作者信息
- 1. 马来西亚吉兰丹,马来西亚理科大学医学院眼科
- 2. 马来西亚吉兰丹,马来西亚理科大学医学院微生物学科
- 折叠
摘要
Abstract
keratitisreduced vision of the right eye after following history of swimming in the stream for two weeks duration.Best-corrected visual acuity of the right eye was 6/30.There was a well-defined para-central disciform stromal infiltration with inflammatory reactions.A corneal sensation was diminished.Initial corneal scrapping for gram stain,Acanthamoeba smear and culture and sensitivity was found to be negative.He was diagnosed as presumed viral disciform keratitis and treated with oral acyclovir and topical steroid.Two weeks later,his vision became deteriorated associated with worsening of the corneal lesion.Re-scrapping corneal specimen for gram stain showed features of Nocardia sp.Topical Gatifloxacin 3g/L was commenced empirically and it showed rapid clinical response.His visual acuity was improved to 6/6 six months after treatment with minimal corneal opacity sparing the visual axis.the condition.If proper treatment is initiated,Nocardia keratitis resolves with minimal scarring and good visual recovery.关键词
诺卡式菌性角膜炎/盘状角膜炎/角膜炎Key words
Nocardia keratitis/disciform keratitis/keratitis引用本文复制引用
Nor-Sharina Y,Lee KF,Siti Hawa H,Zunaina E..诺卡式菌性角膜炎表现为盘状角膜炎1例[J].国际眼科杂志,2011,11(1):8-10,3.
