Necrotizing Nocardial Scleritis With Intraocular Extension: A Case Report

Esclerite infecciosa espontânea por Nocardia asteroides: relato de caso

“…A etiologia infecciosa é incomum, responsável por aproximadamente 5-15% dos casos (1) . Os microorganismos mais identificados são Pseudomonas aeruginosa (1,2) , Streptococcus pneumoniae (1,3) , staphylococcal species (1,4) , varicella zoster virus (1,5) and Nocardia asteroides (6)(7)(8)(9)(10)(11)(12)(13)(14) . Nocardia são bactérias gram positivas, que existem ubiquamente no meio ambiente.…”

“…A disseminação pode envolver qualquer órgão, com maior frequência de abscessos cerebrais e nódulos subcutâneos. A disseminação endógena para o olho pode resultar em abscesso subretiniano e endoftalmite (10) . A taxa de morbi-mortalidade da nocardiose sistêmica é bastante alta.…”

Microbial scleritis—experience from a developing country

“…Review of literature using PubMed and search using term 'infective scleritis' revealed that even this organism is a rare cause of scleritis. [14][15][16][17][18] High prevalence in the current series could be due to the higher presence of Nocardia in the soil of India. Also, India being an agricultural-based developing economy, has led to greater opportunities for transfer of these organisms from the soil to the eye.…”

Tuberculous Scleritis in a Patient with Rheumatoid Arthritis

“…[7][8][9][10][11][12] A case of necrotizing nocardial scleritis with intraocular extension is reported. 13 Reynolds and Alfonso reported infectious scleritis in a patient with acquired immunodeficiency syndrome. 14 Infectious scleritis after systemic immunosuppressive therapy is reported.…”