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Photo Essay
July 1998

Successive Intraocular Nocardiosis and Cytomegalovirus Retinitis After Cardiac Transplantation

Author Affiliations


Arch Ophthalmol. 1998;116(7):960-961. doi:10.1001/archopht.116.7.960

A 44-YEAR-OLD man was seen with blurry vision in his left eye. Eight months earlier, he had undergone cardiac transplantation for idiopathic dilated cardiomyopathy and was recently given the biopsy-proven diagnosis of pulmonary nocardia. His medications included the combination drug sulfamethoxazole (800 mg)-trimethoprim (160 mg), cyclophosphamide, and prednisone. The sulfamethoxazole-trimethoprim combination was for pulmonary nocardia and the dosage had been decreased to once a day because of renal insufficiency. Visual acuity was 20/20 OU. Results of fundoscopic examination of the left eye revealed yellow, nummular, subretinal lesions in the inferonasal retina with overlying exudative retinal detachment and mild vitritis (Figure 1).