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Actinomycetes canaliculitis complicating congenital nasolacrimal duct obstruction in an infant.
Indian J Ophthalmol. 2018 04; 66(4):574-577.IJ

Abstract

Actinomyces israelii is a Gram-positive anaerobic organism commonly associated with canaliculitis in adults. Pediatric canaliculitis is relatively rare, especially in infancy. We report the case of an 11-month-old boy who presented with co-existing canaliculitis and congenital nasolacrimal obstruction. The presenting signs included epiphora, discharge, conjunctival congestion, and matting of lashes. On examination, punctual pouting, regurgitation, and yellow canaliculiths were noted. A punctoplasty and canalicular curettage were performed along with nasolacrimal probing. Microbiological tests confirmed the organisms to be A. israelii. We discuss the clinical features and management of Actinomyces-associated canaliculitis and review the available literature on pediatric canaliculitis.

Authors+Show Affiliations

Department of Ophthalmology, Lokmanya Tilak Municipal Medical College and General Hospital; Department of Ophthalmic Plastic Surgery and Ocular Oncology Services, Advanced Eye Hospital and Institute; Department of Ophthalmic Plastic Surgery and Ocular Oncology Services, Aditya Jyot Eye Hospital, Mumbai, Maharashtra, India.Department of Ophthalmology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India.Department of Ophthalmology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India.Department of Ophthalmology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India.Department of Ophthalmology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India.Department of Ophthalmology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India.Department of Microbiology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India.Department of Ophthalmology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

29582826

Citation

Nair, Akshay Gopinathan, et al. "Actinomycetes Canaliculitis Complicating Congenital Nasolacrimal Duct Obstruction in an Infant." Indian Journal of Ophthalmology, vol. 66, no. 4, 2018, pp. 574-577.
Nair AG, Potdar NA, Gore SS, et al. Actinomycetes canaliculitis complicating congenital nasolacrimal duct obstruction in an infant. Indian J Ophthalmol. 2018;66(4):574-577.
Nair, A. G., Potdar, N. A., Gore, S. S., Ganvir, A. Y., Apte, M. K., Marathe, T. R., Kumar, C. A., & Shinde, C. A. (2018). Actinomycetes canaliculitis complicating congenital nasolacrimal duct obstruction in an infant. Indian Journal of Ophthalmology, 66(4), 574-577. https://doi.org/10.4103/ijo.IJO_1075_17
Nair AG, et al. Actinomycetes Canaliculitis Complicating Congenital Nasolacrimal Duct Obstruction in an Infant. Indian J Ophthalmol. 2018;66(4):574-577. PubMed PMID: 29582826.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Actinomycetes canaliculitis complicating congenital nasolacrimal duct obstruction in an infant. AU - Nair,Akshay Gopinathan, AU - Potdar,Nayana A, AU - Gore,Swaranjali S, AU - Ganvir,Amol Y, AU - Apte,Monisha K, AU - Marathe,Trupti R, AU - Kumar,Chaya A, AU - Shinde,Chhaya A, PY - 2018/3/28/entrez PY - 2018/3/28/pubmed PY - 2018/6/12/medline KW - Canaliculith KW - dacryolith KW - epiphora KW - lacrimal duct KW - punctoplasty KW - watering SP - 574 EP - 577 JF - Indian journal of ophthalmology JO - Indian J Ophthalmol VL - 66 IS - 4 N2 - Actinomyces israelii is a Gram-positive anaerobic organism commonly associated with canaliculitis in adults. Pediatric canaliculitis is relatively rare, especially in infancy. We report the case of an 11-month-old boy who presented with co-existing canaliculitis and congenital nasolacrimal obstruction. The presenting signs included epiphora, discharge, conjunctival congestion, and matting of lashes. On examination, punctual pouting, regurgitation, and yellow canaliculiths were noted. A punctoplasty and canalicular curettage were performed along with nasolacrimal probing. Microbiological tests confirmed the organisms to be A. israelii. We discuss the clinical features and management of Actinomyces-associated canaliculitis and review the available literature on pediatric canaliculitis. SN - 1998-3689 UR - https://www.unboundmedicine.com/medline/citation/29582826/Actinomycetes_canaliculitis_complicating_congenital_nasolacrimal_duct_obstruction_in_an_infant L2 - http://www.ijo.in/article.asp?issn=0301-4738;year=2018;volume=66;issue=4;spage=574;epage=577;aulast=Nair DB - PRIME DP - Unbound Medicine ER -