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Canaliculitis due to Gemella haemolysans in a single isolate
J L Romero-Trevejo1, J Somavilla-Lupiáñez1
1Servicio de Oftalmología, Hospital Universitario Virgen de la Victoria, Málaga, España.
Archivos De La Sociedad Espanola De Oftalmologia
|November 15, 2017
Summary
This case report details a rare instance of acute primary canaliculitis caused by Gemella haemolysans. Surgical intervention successfully treated the infection, highlighting a new causative agent for this eyelid condition.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Microbiology
Background:
- Primary canaliculitis is an uncommon infection affecting the lacrimal canaliculus.
- Typical treatments include antibiotics and anti-inflammatory agents, but resistance can occur.
Observation:
- An 84-year-old female presented with painless swelling and purulent discharge in her upper eyelid canaliculus.
- Initial medical management with antibiotics and corticosteroids for three months showed limited efficacy.
Findings:
- Surgical treatment involving canaliculotomy and curettage was performed.
- Gemella haemolysans was identified as the sole causative agent in the curetted material.
Implications:
- This is the first documented case of primary canaliculitis caused exclusively by Gemella haemolysans.
- Highlights the importance of microbiological identification in refractory cases of canaliculitis.
- Suggests Gemella haemolysans as a potential pathogen in lacrimal drainage system infections.

