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dacryocystitis
Etiology:
- granulomatosis with polyangiitis; Wegener's granulomatosis
- Staphylococcus aureus (MSSA) (case report) [2]
Pathology:
- inflammatory or neoplastic obstruction of the nasolacrimal duct
Clinical manifestations:
1) pain, tenderness, swelling & erythema of the medial lower eyelid
2) purulent discharge over conjunctiva
3) fluid may be expressed with pressure over the puncta with chronic dacrocystitis
4) conjunctivitis
5) blepharitis
* image [2]
Laboratory:
1) gram stain of eye discharge
2) culture of eye discharge
3) urine culture, blood culture, CSF culture (case report) [2]
Complications:
- orbital cellulitis
- abscess
- meningitis
Management:
- intravenous antibiotic agents (case report) [2]
- switch to ophthalmic antibiotic
- warm compresses & nasolacrimal duct massage
- nasolacrimal duct probing to prevent recurrent infection [2]
Related
lacrimal gland
General
lacrimal apparatus disease; lacrimal gland disease
eye infection (ocular inflammation including eyelid inflammation)
References
- DeGowin & DeGowin's Diagnostic Examination, 6th edition,
RL DeGowin (ed), McGraw Hill, NY 1994, pg 877
- Hoffmann J, Lipset S (image)
Acute Dacryocystitis.
N Engl J Med 2018; 379:474
PMID: 30067930
https://www.nejm.org/doi/full/10.1056/NEJMicm1713250