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Cardiobacterium hominis-induced acute dacryocystitis and lacrimal abscess

Guru Prasad Manderwad, Manjulatha Kodiganti, Mohammad Javed Ali1

  • 1Department of Ophthalmic Plastics, Kallam Anji Reddy Campus, L.V Prasad Eye Institute, Banjara Hills, Hyderabad, Andhra Pradesh, India.

Indian Journal of Ophthalmology
|September 7, 2013
PubMed

Insights

Cardiobacterium hominis, a HACEK group bacterium, typically causes endocarditis. This report details the first documented case of acute dacryocystitis and lacrimal abscess due to this pathogen, successfully treated with ciprofloxacin.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Microbiology

Background:

  • Cardiobacterium hominis is a bacterium belonging to the HACEK group, frequently implicated in infective endocarditis.
  • This organism is a normal commensal of the human respiratory tract.

Observation:

  • This case presents the first instance of acute dacryocystitis with a lacrimal abscess caused by Cardiobacterium hominis.
  • The patient developed a severe infection of the lacrimal sac.

Findings:

  • Incision and drainage followed by oral and topical ciprofloxacin treatment led to a positive clinical response.
  • The patient's infection resolved, and dacryocystorhinostomy was planned.

Implications:

  • This finding expands the spectrum of clinical manifestations associated with Cardiobacterium hominis infections.
  • Highlights the importance of considering less common pathogens in orbital and ocular infections.
  • Suggests appropriate antibiotic therapy for successful management of C. hominis dacryocystitis.

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