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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
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Bilateral self-inflicted infectious dacryoadenitis.

Marta Latasiewicz1, Meilin Chang-Sotomayor, Claudia Alonso-Caldarelli

  • 1Department of Ophthalmology, Hospital Clinic de Barcelona , Barcelona , Spain.

Orbit (Amsterdam, Netherlands)
|September 11, 2014
PubMed
Summary

This case report details a unique instance of bilateral lacrimal gland abscesses caused by dacryoadenitis in a cocaine user. Self-inflicted eye scratching led to this rare, severe infection.

Keywords:
Bilateral orbital dacryoadenitiscocaine abuselacrimal gland abscessself-inflicted

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Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Toxicology

Background:

  • Dacryoadenitis, inflammation of the lacrimal gland, can lead to serious complications.
  • Cocaine abuse is associated with various ocular complications, but dacryoadenitis is rarely reported.

Observation:

  • A 45-year-old female with a history of cocaine abuse presented with bilateral dacryoadenitis and purulent discharge.
  • Physical examination revealed inflammation and a wound on the right upper eyelid, suggestive of self-inflicted trauma.
  • Orbital CT scan confirmed bilateral lacrimal gland abscesses.

Findings:

  • Microbiology cultures identified bacterial pathogens responsible for the infection.
  • The patient's history of vigorous eye scratching was identified as the likely mechanism for the bilateral infection.
  • This represents the first reported case of bilateral infectious dacryoadenitis resulting from a self-inflicted mechanism in a cocaine abuser.

Implications:

  • Highlights the potential for severe ocular infections in individuals with substance abuse disorders.
  • Emphasizes the importance of considering self-inflicted trauma in the differential diagnosis of dacryoadenitis, especially in at-risk populations.
  • Successful treatment with targeted antibiotics underscores the need for prompt diagnosis and appropriate antimicrobial therapy.