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Dacryoadenitis Caused by Blastomycosis: A Case Report.

Changyow C Kwan1, Alisa J Prager, Russell M Huang

  • 1Department of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, U.S.A.

Ophthalmic Plastic and Reconstructive Surgery
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Summary
This summary is machine-generated.

This is the first documented case of lacrimal gland blastomycosis. The fungal infection presented as an abscess, successfully treated with surgery and continued antifungal medication.

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Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Mycology

Background:

  • Blastomycosis is a fungal infection typically affecting the lungs and skin.
  • Lacrimal gland involvement is rare, with no prior histopathological confirmation.

Observation:

  • A 51-year-old woman with disseminated blastomycosis presented with acute dacryoadenitis symptoms.
  • MRI revealed an enlarged lacrimal gland with a cystic lesion, initially suspected as an abscess or cyst.

Findings:

  • Histopathology and culture confirmed a lacrimal gland abscess with Blastomyces yeast, indicating partially treated infection.
  • Surgical drainage and continued itraconazole therapy led to symptom improvement.

Implications:

  • This case highlights blastomycosis as a potential cause of dacryoadenitis.
  • Early recognition and appropriate management are crucial for favorable outcomes in lacrimal gland infections.