Infectious keratitis secondary to canaliculitis with concretions
| Autor: | Ching-Hsi Hsiao, Chieh-Hung Yen, Yueh-Ju Tsai, Yu-Pu Chou, Po-Han Yeh |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Corneal Infection genetic structures business.industry medicine.medical_treatment General Medicine Eye infection Infectious Keratitis Dermatology eye diseases Curettage Corneal ulceration 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Corneal scrapings medicine Canaliculitis Vancomycin sense organs 030212 general & internal medicine business medicine.drug |
| Zdroj: | Medicine. 98:e17444 |
| ISSN: | 1536-5964 0025-7974 |
| DOI: | 10.1097/md.0000000000017444 |
| Popis: | Rationale Canaliculitis is a frequently overlooked and misdiagnosed disease. Concurrent corneal ulceration with canaliculitis is uncommon. We report such a case. Patient concerns An 87-year-old woman complained of swelling and pain of the right eye after acute angle closure glaucoma attack. Slit-lamp examination was compatible with the features of infectious keratitis, and the cultures from corneal scrapings grew Streptococcus anginosus later. Hourly topical vancomycin (25 mg/ml) was instilled, then the corneal ulceration improved initially but became stationary after 1-week treatment. Diagnosis Discharge from the upper punctum was noted subsequently and canalicular concretions were found through curettage. The cultures from canalicular discharge and concretions also revealed the presence of S. anginosus. Thus, infectious keratitis secondary to canaliculitis was diagnosed. Interventions Canaliculotomy was performed to remove the large concretion and vancomycin was injected locally. Outcomes The corneal ulceration resolved after canaliculitis was appropriately treated. Lessons Canaliculitis could be a reservoir for organisms that may make compromised corneas liable to infections. Only the appropriate diagnosis and aggressive treatment of canaliculitis leads to the eradication of associated corneal infections. |
| Databáze: | OpenAIRE |
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