Disseminated Nocardiosis with retinal abscess in a patient treated for bullous pemphigoid.

Purpose: To report a case of disseminated Nocardiosis with retinal and intracranial lesions.

Observations: A 49-year-old woman immunosuppressed because of treatment given for bullous pemphigoid presented with altered mental status and multiple intracranial lesions on imaging. The patient was found to have multiple retinal lesions in both eyes, including a subretinal abscess in the right eye. The patient underwent brain biopsy, confirming Nocardia farcinica histopathologically and in culture.

Conclusions and Importance: Ocular Nocardiosis is a rare disease with varying prognosis that requires prompt diagnosis to ensure appropriate medical therapy.