Disseminated Nocardiosis with retinal abscess in a patient treated for bullous pemphigoid

Purpose: To report a case of disseminated Nocardiosis with retinal and intracranial lesions. Observations: A 49-year-old woman immunosuppressed because of treatment given for bullous pemphigoid presented with altered mental status and multiple intracranial lesions on imaging. The patient was found t...

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Main Authors: Sidharth Puri, Amir Hadayer, Andrea Breaux, Charles C. Barr
Format: Article
Language:English
Published: Elsevier 2018-06-01
Series:American Journal of Ophthalmology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993617303560
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author Sidharth Puri
Amir Hadayer
Andrea Breaux
Charles C. Barr
author_facet Sidharth Puri
Amir Hadayer
Andrea Breaux
Charles C. Barr
author_sort Sidharth Puri
collection DOAJ
description Purpose: To report a case of disseminated Nocardiosis with retinal and intracranial lesions. Observations: A 49-year-old woman immunosuppressed because of treatment given for bullous pemphigoid presented with altered mental status and multiple intracranial lesions on imaging. The patient was found to have multiple retinal lesions in both eyes, including a subretinal abscess in the right eye. The patient underwent brain biopsy, confirming Nocardia farcinica histopathologically and in culture. Conclusions and Importance: Ocular Nocardiosis is a rare disease with varying prognosis that requires prompt diagnosis to ensure appropriate medical therapy. Keywords: Abscess, Nocardia, Nocardiosis, Retina
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spelling doaj.art-c8df5bce5c824bad9787f5fde27390c32022-12-22T03:53:46ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362018-06-0110145147Disseminated Nocardiosis with retinal abscess in a patient treated for bullous pemphigoidSidharth Puri0Amir Hadayer1Andrea Breaux2Charles C. Barr3Kentucky Lions Eye Center, University of Louisville, Louisville, KY, USA, 40202Kentucky Lions Eye Center, University of Louisville, Louisville, KY, USA, 40202Kentucky Lions Eye Center, University of Louisville, Louisville, KY, USA, 40202Corresponding author. 301 E Muhammad Ali Blvd, Louisville, KY, USA, 40202.; Kentucky Lions Eye Center, University of Louisville, Louisville, KY, USA, 40202Purpose: To report a case of disseminated Nocardiosis with retinal and intracranial lesions. Observations: A 49-year-old woman immunosuppressed because of treatment given for bullous pemphigoid presented with altered mental status and multiple intracranial lesions on imaging. The patient was found to have multiple retinal lesions in both eyes, including a subretinal abscess in the right eye. The patient underwent brain biopsy, confirming Nocardia farcinica histopathologically and in culture. Conclusions and Importance: Ocular Nocardiosis is a rare disease with varying prognosis that requires prompt diagnosis to ensure appropriate medical therapy. Keywords: Abscess, Nocardia, Nocardiosis, Retinahttp://www.sciencedirect.com/science/article/pii/S2451993617303560
spellingShingle Sidharth Puri
Amir Hadayer
Andrea Breaux
Charles C. Barr
Disseminated Nocardiosis with retinal abscess in a patient treated for bullous pemphigoid
American Journal of Ophthalmology Case Reports
title Disseminated Nocardiosis with retinal abscess in a patient treated for bullous pemphigoid
title_full Disseminated Nocardiosis with retinal abscess in a patient treated for bullous pemphigoid
title_fullStr Disseminated Nocardiosis with retinal abscess in a patient treated for bullous pemphigoid
title_full_unstemmed Disseminated Nocardiosis with retinal abscess in a patient treated for bullous pemphigoid
title_short Disseminated Nocardiosis with retinal abscess in a patient treated for bullous pemphigoid
title_sort disseminated nocardiosis with retinal abscess in a patient treated for bullous pemphigoid
url http://www.sciencedirect.com/science/article/pii/S2451993617303560
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