A previously healthy 23-month-old girl was admitted for the management of an acute unilateral dacryocystitis following accidental contact with dog faeces. No periocular trauma was reported. Microbiological investigation showed a multiresistant strain of Pantoea species to be the responsible pathogen. The infection responded to a course of oral Clindamycin and Ciprofloxacin, in combination with Chloramphenicol eye drops. This is the first report of an acute dacryocystitis sustained by this microorganism.
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| http://dx.doi.org/10.3109/01676830.2011.628435 | DOI Listing |
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Service d'ophtalmologie, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges cedex, France.
In addition to being a drainage system, the lacrimal ducts actively defend the eye through the action of the lacrimal pump, the presence of resident flora (lacriome) and the mucosa-associated immune tissue. Infection occurs when mucosal immune functions are overwhelmed. Lacrimal infection is a vicious circle, in which infection leads to inflammation and post-inflammatory sequelae, themselves a source of occlusion and stagnation, which in turn encourages infection.
View Article and Find Full Text PDFA rare case of infantile acute polymicrobial dacryocystitis due to Serratia marcescens, Haemophilus aphrophilus, and Prevotellaintermedia.
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McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, Texas; Department of Ophthalmology and Visual Science, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, Texas. Electronic address:
Infantile acute dacryocystitis is an acute inflammation of the lacrimal sac in infants. The most common pathogens are Gram-positive cocci and Gram-negative rods. We report a case of infantile polymicrobial acute dacryocystitis.
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