[急性泪囊炎并发原发性单核细胞增多症感染]
[Acute dacryocystitis complicating primary mononucleosis infection].
作者信息
Delbet C, PhamDang N, Mondie J-M, Barthelemy I
机构信息
Service de stomatologie et chirurgie maxillofaciale, CHU de Clermont-Ferrand, boulevard Léon-Malfreyt, 63000 Clermont-Ferrand, France.
出版信息
Rev Stomatol Chir Maxillofac. 2010 Nov-Dec;111(5-6):334-6. doi: 10.1016/j.stomax.2010.06.004. Epub 2010 Jul 24.
INTRODUCTION
Infectious mononucleosis may lead to numerous complications. Tonsillar hyperplasia with risk of airway obstruction is well known. Dacryocystitis is a rare but potentially severe complication.
OBSERVATION
A 6-year-old child with primary mononucleosis infectious diagnosed 8 days before, developed acute dacryocystitis, with rapid evolution to orbital cellulitis, despite adequate antibiotherapy. Emergency surgical drainage was required.
DISCUSSION
Dacryocystitis is a rare and little documented complication of EBV infection. Its acute evolution to orbital cellulitis is possible and potentially severe. Its physiopathology is specific. Patients are initially free of chronic stenosis and epiphora, which express acute obstruction of the lachrymal sac due to general lymphoid hyperplasia.
引言
传染性单核细胞增多症可能导致多种并发症。扁桃体增生伴有气道梗阻风险是众所周知的。泪囊炎是一种罕见但可能严重的并发症。
病例观察
一名6岁儿童，8天前被诊断为原发性传染性单核细胞增多症，尽管接受了适当的抗生素治疗，仍发展为急性泪囊炎，并迅速演变为眶蜂窝织炎。需要进行紧急手术引流。
讨论
泪囊炎是EB病毒感染一种罕见且文献记载较少的并发症。它可能急性演变为眶蜂窝织炎，且具有潜在严重性。其病理生理学具有特异性。患者最初无慢性狭窄和溢泪症状，这些症状是由于全身淋巴组织增生导致泪囊急性梗阻所致。
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