Abstract

Objectives : To describe the clinical features and treatment outcome of a rare case of bacterial scleritis of mixed etiology of Pasteurella canis and Nocardia Methods: A 75 year old gentleman presented with nasal scleral nodules suggestive of infectious scleritis and a scleral deroofing was done On day 3 a positive culture of Pasteurella canis was noted sensitive to ciprofloxacin and amikacin. On day 12, growth of Nocardia was noted which was sensitive to the same antibiotics. Topical amikacin was continued along with IV amikacin 500 mg BD for 2 weeks. All lesions finally healed after 6 weeks.Results and conclusion:Pasteurella species is a gram negative, facultative anaerobic coccobacillus with P. canis commonly causing skin and soft tissue infections associated with dog bites .3 year data from our institute showed 13 cases of P.canis in keratitis, post traumatic endophthalmitis and dacryocystitis. This is the first case of P. canis scleritis with a mixed etiology of Nocardia.