Derr Charlotte, Shah Ankit
University of South Florida, Emergency Medicine Residency Program, Tampa-FL, USA.
J Emerg Trauma Shock. 2012 Jan;5(1):92-4. doi: 10.4103/0974-2700.93096.
Acute dacryoadenitis is an uncommon condition that involves inflammation of the lacrimal gland. In rare instances, dacryoadenitis may be bilateral. A delay in proper treatment of an otherwise simple case of dacryoadenitis may lead to significant soft tissue morbidity such as cellulitis, lacrimal gland abscess, or orbital abscess. We report the case of a 24-year-old male who presented to the emergency department with acute bilateral dacryoadenitis. The patient's symptoms did not respond to oral antibiotics and he subsequently required admission for intravenous antibiotics. During his hospitalization the patient had diagnostic testing to try to determine the etiology for his symptoms. The unique aspects of managing a case of bilateral dacryoadenitis as well as treatment recommendations are discussed in this case report.
急性泪腺炎是一种涉及泪腺炎症的罕见病症。在极少数情况下，泪腺炎可能是双侧的。对于原本简单的泪腺炎病例，若治疗不当而延误，可能会导致严重的软组织病变，如蜂窝织炎、泪腺脓肿或眼眶脓肿。我们报告一例24岁男性患者，因急性双侧泪腺炎就诊于急诊科。患者的症状对口服抗生素无反应，随后需要住院接受静脉抗生素治疗。在住院期间，患者进行了诊断性检查，以试图确定其症状的病因。本病例报告讨论了双侧泪腺炎病例管理的独特方面以及治疗建议。
