G Paolo Giuliari1, Ama Sadaka, Ralph Eagle, Victor H Gonzalez. 1. Princess Margaret Hospital, *Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Canada †Valley Retina Institute, PA, McAllen, Texas ‡Schepens Eye Research Institute, Boston, Massachusetts §Department of Pathology, Wills Eye Hospital, Philadelphia, Pennsylvania.
Abstract
PURPOSE: To describe a case of an immunosuppressed patient with history of renal transplant that presented with sudden unilateral loss of vision. METHODS: Case report. Review of medical records. RESULTS: A 49-year-old man with history of renal transplantation presenting with visual symptoms without initial systemic manifestations. Because of the rarity of ocular involvement, the patient's diagnosis of Nocardia asteroides endophthalmitis was delayed culminating in systemic involvement and necessitating enucleation of the eye. CONCLUSION: Nocardiosis is a serious life-threatening complication in immunosuppressed patients. Visual symptoms and endophthalmitis in this population should raise the suspicion of a possible serious systemic infection like nocardia.
PURPOSE: To describe a case of an immunosuppressed patient with history of renal transplant that presented with sudden unilateral loss of vision. METHODS: Case report. Review of medical records. RESULTS: A 49-year-old man with history of renal transplantation presenting with visual symptoms without initial systemic manifestations. Because of the rarity of ocular involvement, the patient's diagnosis of Nocardia asteroides endophthalmitis was delayed culminating in systemic involvement and necessitating enucleation of the eye. CONCLUSION:Nocardiosis is a serious life-threatening complication in immunosuppressed patients. Visual symptoms and endophthalmitis in this population should raise the suspicion of a possible serious systemic infection like nocardia.