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Nocardia spp cause opportunist pulmonary, cerebral or soft-tissue infections and exogenous endophthalmitis. Endogenous endophthalmitis is rare, occurring as the result of haematogenous dissemination, and in association with underlying immunodeficiency. We present the case of a patient with endogenous nocardial endophthalmitis, diagnosed by histopathological characteristics on subretinal biopsy, in an immunocompetent host with no evidence of extraocular infection.
A 49-year-old man presented with a 9-day history of worsening vision and ophthalmic pain. A left-sided choroidal mass was visualised on funduscopy. The patient refused admission and returned 3 days later with retinal detachment and no perception of light in his left eye. No history of ocular trauma or surgery was seen. He had injected intravenous drugs …