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Related Concept Videos

Skin Diseases and Disorders01:23

Skin Diseases and Disorders

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Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
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Updated: May 27, 2025

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
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Fungal dacryops: a rare presentation.

Lavanya Maddi1, Dilip Kumar Mishra2, Swathi Kaliki3

  • 1Ophthalmic Plastic Surgery, LV Prasad Eye Institute, Hyderabad, Telangana, India.

BMJ Case Reports
|February 16, 2025
PubMed
Summary
This summary is machine-generated.

A rare fungal infection caused a painful cyst in a woman's lacrimal gland. Prompt diagnosis and surgical removal of Aspergillus fumigatus led to a full recovery.

Keywords:
OphthalmologyPathology

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Area of Science:

  • Ophthalmology
  • Mycology
  • Pathology

Background:

  • Lacrimal gland cysts can present with varied symptoms, including pain and swelling.
  • While typically benign, cystic lesions require thorough investigation to rule out underlying infections or neoplastic processes.
  • Aspergillus fumigatus is an opportunistic fungus rarely implicated in lacrimal gland infections.

Purpose of the Study:

  • To report a case of a lacrimal gland cyst caused by Aspergillus fumigatus.
  • To highlight the diagnostic challenges and successful management of this rare clinical presentation.
  • To emphasize the importance of microbiological and histopathological analysis in identifying causative agents of orbital lesions.

Main Methods:

  • Clinical presentation and examination of a cystic lesion in the lacrimal gland.
  • Excisional biopsy for histopathological and microbiological analysis.
  • Postoperative follow-up for recurrence.

Main Results:

  • Microbiological analysis identified fungal filaments consistent with Aspergillus fumigatus.
  • Histopathological examination confirmed fungal colonies within the cyst wall.
  • The patient experienced complete resolution of symptoms and showed no recurrence at 6-month follow-up.

Conclusions:

  • Aspergillus fumigatus can cause cystic lesions in the lacrimal gland, mimicking benign conditions like dacryops.
  • Surgical excision combined with appropriate microbiological identification is crucial for effective management.
  • Early diagnosis and treatment prevent complications and ensure favorable outcomes in lacrimal gland mycosis.