Ocular Immunology and Inflammation
Nocardia asteroides necrotizing scleritis associated with subtenon triamcinolone acetonide injection.
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Abstrakt
OBJECTIVE
To report a case of Nocardia asteroides infection after subtenon triamcinolone acetonide injection.
METHODS
Case report.
RESULTS
An 80-year old female received a subtenon triamcinolone acetonide injection for postcataract surgery cystoid macular edema. Shortly after, the patient developed a chronic red eye that progressed to a fulminant necrotizing scleritis. Eventual scleral biopsy revealed Nocardia asteroides infection, which improved after 5 months of systemic antibiotic therapy.
CONCLUSIONS
Subtenon triamcinolone acetonide injection should be recognized as a cause of serious infectious scleritis.
