|
KMID : 0857020100250010106
|
|
Kosin Medical Journal
2010 Volume.25 No. 1 p.106 ~ p.108
|
|
|
Misdiagnosis of Asperhillus Canaliculitis as Chronic Conjuncivitis
|
|
Lee Jung-Joo
Lee Ji-Eun
Lee Sang-Joon
|
|
|
Abstract
|
|
|
|
Lacrimal canaliculitis is a condition normally caused by an infection of the canaliculi the condition is frequently associated with Actinomyces species. Rarely, however, bacteria, fungi, and viruses are also implicated in the infection leading to lacrimal canaliculitis. Lacrimal canaliculitis is also occasionally misdiagnosed as mucoceles, dacryocystitis, conjunctivitis, blepharitis, or chalazion. In this report, we describe a rare case of lacrimal canaliculitis caused by Aspergillus flavus. A 59-year-old man presented to our department with a 3-month history of chronic conjunctivitis in his right eye. The patient was initially diagnosed with bacterial conjunctivitis, but did not respond to topical antibiotics. Our examination revealed signs of canaliculitis, and Aspergillus flavus was cultured from the discharge. Based on the culture results, the patient was treated with 0.1% itraconazole ophthalmic drops administered every 2 hours and 200 mg of oral itraconazole once daily, for a total of 3 weeks. At the time of examination 3 weeks after this treatment, repeated microbiological cultures of the discharge detected no further growth of any organisms, and the patient’s symptoms were profoundly improved. All symptoms and signs were completely resolved, and the patient exhibited no signs indicative of disease in the 2-week follow-up examination.
|
|
|
KEYWORD
|
|
|
Aspergillus flavus, Canaliculitis, Chronic conjunctivitis
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
|
|