NOCARDIAL NECROTIZING SCLERITIS AFTER TRAUMA - SUCCESSFUL OUTCOME USING CEFAZOLIN

Nocardial necrotizing scleritis is uncommon, but potentially sight thr eatening. We report the occurrence of necrotizing scleritis in a 58-ye ar-old farm worker after he sustained trauma with vegetable matter. Mi crobiological studies isolated Nocardia asteroides, sensitive only to cefazolin. Clinically the patient responded well to this drug, attaini ng a final visual acuity of 20\40, with complete resolution of the scl eritis. Early isolation and testing for antibiotic sensitivity were re sponsible for the successful management of this patient.