Eloy Philippe, Brandt Heidi, Nollevaux Marie-Cécile, Levecq Laurent, Collet Stéphanie, Rombaux Philippe, Bertrand Bernard
ENT & HNS Department, University Hospital of Mont-Godinne, Catholic University of Leuven, Yvoir, Belgium.
Rhinology. 2004 Jun;42(2):103-6.
Solid-cast forming actinomycotic canaliculitis is an uncommon cause of unilateral chronic red eye resistant to conventional topical medical therapy. The authors report the history of a 62-year old woman who was complaining of mucopurulent discharge from the right lower canaliculus for a period of 12 months. Culture yielded a few colonies of Actinomyces. Magnetic resonance imaging showed a dilation of the right lower canaliculus. The signal was hypointense and heterogeneous on both T1 and T2 weighted sequences. Surgery enabled removal of several solid yellowish casts and resulted in resolution of the disease. Histopathologic examination confirmed the presence of dense, basophilic conglomerates of filamentous organisms. Because rhinologists have more and more opportunities to perform surgery of the lachrymal pathway they need to be informed about this clinical entity.
实性铸型形成性放线菌性泪小管炎是单侧慢性红眼的罕见病因，对传统局部药物治疗无效。作者报告了一名62岁女性的病史，该患者抱怨右下泪小管有黏液脓性分泌物长达12个月。培养发现了一些放线菌菌落。磁共振成像显示右下泪小管扩张。在T1加权和T2加权序列上信号均为低信号且不均匀。手术成功取出了几个实性淡黄色铸型，疾病得以治愈。组织病理学检查证实存在密集的嗜碱性丝状生物体聚集体。由于鼻科医生进行泪道手术的机会越来越多，他们需要了解这种临床病症。
