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Dacryocystitis following Kawasaki's disease.
J A Mauriello1, C Stabile, R S Wagner
1Oculoplastic Service, Eye Institute of New Jersey, Newark 07107.
Ophthalmic Plastic and Reconstructive Surgery
|January 1, 1986
Summary
This study reports a rare case of dacryocystitis, an eye infection, occurring after Kawasaki disease. Surgical intervention was successful in resolving the persistent obstruction.
Area of Science:
- Ophthalmology
- Pediatrics
- Infectious Diseases
Background:
- Kawasaki disease is a rare childhood illness primarily affecting blood vessels.
- Ocular complications are common during the acute phase of Kawasaki disease.
- Dacryocystitis, an infection of the tear sac, is not a commonly reported complication.
Observation:
- A pediatric patient developed bilateral dacryocystitis one year after Kawasaki disease resolution.
- Initial antibiotic treatment and probing were insufficient to resolve the obstruction.
- Surgical dacryocystorhinostomy was required for successful treatment.
Findings:
- This case represents the first reported instance of dacryocystitis following Kawasaki disease.
- The ocular complication occurred significantly after the acute phase of the illness.
- Unlike most other ocular issues in Kawasaki disease, this dacryocystitis manifested late.
Implications:
- This case highlights the potential for delayed ocular complications following Kawasaki disease.
- It suggests a need for continued ophthalmological surveillance in patients with a history of Kawasaki disease.
- Further research may be warranted to understand the link between Kawasaki disease and late-onset dacryocystitis.