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  • Title: Nocardia asteroides necrotizing scleritis associated with subtenon triamcinolone acetonide injection.
    Author: Seth RK, Gaudio PA.
    Journal: Ocul Immunol Inflamm; 2008; 16(4):139-40. PubMed ID: 18716947.
    Abstract:
    PURPOSE: To report a case of Nocardia asteroides infection after subtenon triamcinolone acetonide injection. DESIGN: 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.
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