Primary Nocardia brasiliensis of the eyelid

Am J Ophthalmol. 2004 Sep;138(3):498-9. doi: 10.1016/j.ajo.2004.04.020.

Abstract

Purpose: To report a rare case of lymphocutaneous Nocardia brasiliensis originating in the eyelid.

Design: Observational case report.

Methods: The clinical presentation, workup, and treatment of a case of lymphocutaneous Nocardia brasiliensis originating in the eyelid are presented.

Results: The patient presented with a preseptal cellulitis from an abrasion of the eyelid that progressed to submandibular lymph node suppuration. Culture was performed, and a diagnosis of lymphocutaneous Nocardia brasiliensis was made.

Conclusion: Nocardia brasiliensis may cause a lymphocutaneous infection of the face and must be considered in the differential diagnosis of preseptal cellulitis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Amoxicillin-Potassium Clavulanate Combination / therapeutic use
  • Drug Therapy, Combination / therapeutic use
  • Eye Infections, Bacterial / diagnosis
  • Eye Infections, Bacterial / drug therapy
  • Eye Infections, Bacterial / microbiology*
  • Eyelid Diseases / diagnosis
  • Eyelid Diseases / drug therapy
  • Eyelid Diseases / microbiology*
  • Humans
  • Lymph Nodes / microbiology
  • Lymph Nodes / pathology
  • Lymphatic Diseases / diagnosis
  • Lymphatic Diseases / drug therapy
  • Lymphatic Diseases / microbiology*
  • Male
  • Nocardia / isolation & purification*
  • Nocardia Infections / diagnosis
  • Nocardia Infections / drug therapy
  • Nocardia Infections / microbiology*
  • Skin Diseases, Bacterial / diagnosis
  • Skin Diseases, Bacterial / drug therapy
  • Skin Diseases, Bacterial / microbiology*
  • Trimethoprim, Sulfamethoxazole Drug Combination / therapeutic use

Substances

  • Amoxicillin-Potassium Clavulanate Combination
  • Trimethoprim, Sulfamethoxazole Drug Combination