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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
[Acute dacryocystitis complicating primary mononucleosis infection]
C Delbet1, N PhamDang, J-M Mondie
1Service de stomatologie et chirurgie maxillofaciale, CHU de Clermont-Ferrand, boulevard Léon-Malfreyt, 63000 Clermont-Ferrand, France. delbet.candice@gmail.com
Insights
Dacryocystitis, a rare complication of infectious mononucleosis (also known as Epstein-Barr virus infection), can rapidly progress to severe orbital cellulitis. Prompt surgical intervention may be necessary for effective treatment.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Pediatrics
Background:
- Infectious mononucleosis can cause various complications, including tonsillar hyperplasia.
- Dacryocystitis, an inflammation of the tear sac, is a rare but serious complication of infectious mononucleosis.
Observation:
- A 6-year-old child presented with acute dacryocystitis eight days after infectious mononucleosis diagnosis.
- The condition rapidly evolved into orbital cellulitis despite antibiotic treatment.
Findings:
- Dacryocystitis is an uncommon complication of Epstein-Barr virus (EBV) infection.
- Acute dacryocystitis can rapidly progress to severe orbital cellulitis.
- Pathophysiology involves acute obstruction of the lacrimal sac due to lymphoid hyperplasia.
Implications:
- Early recognition of dacryocystitis in EBV infection is crucial.
- Prompt surgical drainage may be required for severe cases.
- Understanding the specific pathophysiology aids in managing this rare complication.
Introduction:
Infectious mononucleosis may lead to numerous complications. Tonsillar hyperplasia with risk of airway obstruction is well known. Dacryocystitis is a rare but potentially severe complication.
Observation:
A 6-year-old child with primary mononucleosis infectious diagnosed 8 days before, developed acute dacryocystitis, with rapid evolution to orbital cellulitis, despite adequate antibiotherapy. Emergency surgical drainage was required.
Discussion:
Dacryocystitis is a rare and little documented complication of EBV infection. Its acute evolution to orbital cellulitis is possible and potentially severe. Its physiopathology is specific. Patients are initially free of chronic stenosis and epiphora, which express acute obstruction of the lachrymal sac due to general lymphoid hyperplasia.
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