%0 Journal Article %A Maneesha Mohan Bellala %A Poornima Sharma Tandra %A Bhupesh Bagga %A Bhagyashree Madduri %T Nocardia keratitis presenting as an anterior chamber ball of exudates and its management %D 2023 %R 10.1136/bcr-2022-251647 %J BMJ Case Reports %P e251647 %V 16 %N 2 %X A man in late 40s presented with corneal ulcer of the right eye of 1 month duration. He had a central corneal epithelial defect measuring 4.6×4.2 mm with an underlying 3.6×3.5 mm anterior to mid stromal patchy infiltrate and 1.4 mm hypopyon. Gram stain of the colonies on chocolate agar showed presence of confluent thin branching, gram-positive beaded filaments, which were positive after 1% acid fast stain. This confirmed our organism to be Nocardia sp. Topical amikacin was started but continued worsening of the infiltrate and presence of a ball of exudates in the anterior chamber, prompted the use of systemic trimethoprim-sulfamethoxazole. There was a dramatic improvement in the signs and symptoms, with complete resolution of infection over a period of 1 month. %U https://casereports.bmj.com/content/bmjcr/16/2/e251647.full.pdf