Tags

Type your tag names separated by a space and hit enter

Infectious keratitis secondary to canaliculitis with concretions: A case report.
Medicine (Baltimore). 2019 Oct; 98(40):e17444.M

Abstract

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.

Authors+Show Affiliations

Department of Education, Chang Gung Memorial Hospital, Linkou. Department of Medicine, Mackay Medical College, New Taipei City.Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou.Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou. College of Medicine, Chang Gung University, Taoyuan, Taiwan.Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou.Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou. College of Medicine, Chang Gung University, Taoyuan, Taiwan.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

31577768

Citation

Chou, Yu-Pu, et al. "Infectious Keratitis Secondary to Canaliculitis With Concretions: a Case Report." Medicine, vol. 98, no. 40, 2019, pp. e17444.
Chou YP, Yeh PH, Tsai YJ, et al. Infectious keratitis secondary to canaliculitis with concretions: A case report. Medicine (Baltimore). 2019;98(40):e17444.
Chou, Y. P., Yeh, P. H., Tsai, Y. J., Yen, C. H., & Hsiao, C. H. (2019). Infectious keratitis secondary to canaliculitis with concretions: A case report. Medicine, 98(40), e17444. https://doi.org/10.1097/MD.0000000000017444
Chou YP, et al. Infectious Keratitis Secondary to Canaliculitis With Concretions: a Case Report. Medicine (Baltimore). 2019;98(40):e17444. PubMed PMID: 31577768.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Infectious keratitis secondary to canaliculitis with concretions: A case report. AU - Chou,Yu-Pu, AU - Yeh,Po-Han, AU - Tsai,Yueh-Ju, AU - Yen,Chieh-Hung, AU - Hsiao,Ching-Hsi, PY - 2019/10/3/entrez PY - 2019/10/3/pubmed PY - 2019/10/15/medline SP - e17444 EP - e17444 JF - Medicine JO - Medicine (Baltimore) VL - 98 IS - 40 N2 - 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. SN - 1536-5964 UR - https://www.unboundmedicine.com/medline/citation/31577768/Infectious_keratitis_secondary_to_canaliculitis_with_concretions:_A_case_report L2 - http://dx.doi.org/10.1097/MD.0000000000017444 DB - PRIME DP - Unbound Medicine ER -