Orbital nocardiosis in immunocompetent patients: a case series and review of the literature.
Sanjana Molugu, Suryasnata Rath, Anasua Ganguly Kapoor et al.
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Case in brief
Three immunocompetent patients aged 34-58 years presented with chronic orbital inflammation following remote trauma, characterized by preseptal abscesses, diffuse orbital masses, and bony erosions. Imaging revealed ill-defined soft tissue lesions. Nocardia nova was identified in one case, with co-infection by Staphylococcus aureus in two. Treatment involved surgical debridement and prolonged antimicrobial therapy, leading to complete resolution in two patients.
Diagnostic / clinical pearl
Orbital nocardiosis can occur in immunocompetent individuals, especially post-trauma, necessitating early suspicion and tissue diagnosis for effective management.