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Infectious mononucleosis presenting as bilateral acute dacryocystitis
P L Atkinson1, A M Ansons, A Patterson
1Royal Liverpool Children's Hospital, Alder Hey.
The British Journal of Ophthalmology
|December 1, 1990
Summary
Infectious mononucleosis can manifest as bilateral acute dacryocystitis in children. This rare presentation suggests a potential underlying systemic illness in pediatric patients.
Area of Science:
- Ophthalmology
- Pediatrics
- Infectious Diseases
Background:
- Acute dacryocystitis, an infection of the lacrimal sac, is relatively uncommon in children.
- Bilateral presentations are even rarer and warrant further investigation for systemic causes.
Observation:
- A 7-year-old girl presented with symptoms of bilateral acute dacryocystitis.
- Clinical examination revealed signs consistent with infection of both lacrimal sacs.
Findings:
- Infectious mononucleosis was diagnosed as the underlying cause of the bilateral acute dacryocystitis.
- Epstein-Barr virus (EBV) infection was confirmed through diagnostic testing.
Implications:
- This case highlights the importance of considering systemic infections, such as infectious mononucleosis, in pediatric patients with bilateral acute dacryocystitis.
- Early recognition and diagnosis of underlying systemic illnesses are crucial for appropriate management and to prevent complications.