Horvath CEFrom *Klinik und Poliklinik für Augenheilkunde, Inselspital, University Bern; and †Institut für Diagnostische und Interventionelle Neuroradiologie and ‡Institut für Infektionskrankheiten, Universität Bern, Switzerland.
English
PURPOSE Description of ocular involvement in a case of disseminated nocardiosis.
METHODS Case report of an immunosuppressed patient displaying a unilateral extramacular choroidal lesion presumed to be due to nocardia species. The patient received sulfonamide treatment for a culture-proven generalized nocardia infection.
RESULTS During follow-up, demarcation, resolution, and secondary development of macular pucker with vitreoretinal traction and macular edema was observed. Visual acuity of the affected eye recovered from initially 20/100 to 20/32 at the end of follow-up.
CONCLUSION Early and appropriate treatment of ocular endogenous nocardiosis can result in a favorable outcome.