Case Report: Endogenous Nocardial Endophthalmitis in a Renal Transplant Recipient.

Park, Hye Ryun; Youn, Young Hee; Sohn, Jun Hong

Case Report

Journal of the Korean Ophthalmological Society 2003;44(4):998-1001.
Published online April 1, 2003.

Case Report: Endogenous Nocardial Endophthalmitis in a Renal Transplant Recipient.

Hye Ryun Park, Young Hee Youn, Jun Hong Sohn

¹Department of Ophthalmology, University of Ulsan, College of Medicine, Asan Medical Center, Korea.
²HanGil Eye Hospital, Korea. jhsohn19@hannanet.net

신장 이식 환자에서 발생한 내인성 Nocardia 안내염 1예

박혜련 ( Hye Ryun Park ) , 윤영희 ( Young Hee Youn ) , 손준홍 ( Jun Hong Sohn )

Abstract

PURPOSE
To report a case of endogenous Nocardia endophthalmitis developed in an immunocompromized patient. METHODS: Case report. RESULTS: A 25 year-old man with terminal stage renal disease who was treated with renal transplantation and immunosuppressive medications, presented with reduced vision in his right eye. Ocular examination showed inflammation of anterior chamber, vitreous opacity and subretinal abscess. Prior to ocular symptom, he had been diagnosed to have Nocarida abscess in the lung, brain and soft tissue. He was treated with systemic antibiotics (Imipenam, TMP/SMX). Retinal lesion was improved to achieve 20/200 vision. CONCLUSIONS: We experienced a case of endogenous endophthalmitis due to systemic Nocardia infection in an immunocompromised patient. To our knowledge, this case was the first report of endogenous Nocardia endophthalmitis in Korea.

Key Words: Endophthalmitis;Nocarida infection;Renal transplantation