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A Catheter-Related Candida albicans Infection Model in Mouse

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[Dacryocystitis caused by Candida lusitaniae].

F Pastor-Pascual¹, E España-Gregori, J Aviñó-Martínez

¹Servicio de Oftalmología, Hospital Universitario La Fe, Valencia, España. oftpaco@yahoo.es

Archivos De La Sociedad Espanola De Oftalmologia

|June 19, 2007

Summary

This case report details a rare instance of dacryocystitis caused by Candida Lusitaniae in a 60-year-old woman. Topical amphotericin B and dacryocystorhinostomy successfully treated the fungal infection.

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Area of Science:

Ophthalmology
Mycology
Infectious Diseases

Background:

Dacryocystitis, an inflammation of the lacrimal sac, can be recurrent and challenging to treat.
Fungal infections of the lacrimal system are uncommon, with Candida species being rare etiological agents.

Observation:

A 60-year-old woman presented with recurrent dacryocystitis affecting both lacrimal sacs, unresponsive to conventional medical and surgical interventions.
Intraoperative cultures identified Candida Lusitaniae as the causative organism in both affected lacrimal sacs.

Findings:

Successful treatment was achieved with topical amphotericin B, an antifungal medication, combined with dacryocystorhinostomy.
This case highlights the importance of considering fungal pathogens, specifically Candida Lusitaniae, in refractory dacryocystitis.

Implications:

The findings suggest that Candida Lusitaniae should be considered in the differential diagnosis of persistent or recurrent dacryocystitis, especially after antibiotic use.
This case underscores the need for microbiological investigation in complex lacrimal sac infections to guide appropriate antifungal therapy.