Olender Alina, Matysik-Woźniak Anna, Rymgayłło-Jankowska Beata, Rejdak Robert
Chair and Department of Medical Microbiology, Medical University, Lublin, Poland.
Department of General Ophthalmology, Medical University, Lublin, Poland.
Ann Agric Environ Med. 2013;20(4):742-4.
Actinomycosis of the lacrimal ducts is a rare chronic infection, caused by bacteria of the genus Actinomyces, usually A. israelii. The analyzed case of a 72-year-old man draws attention to the chronic nature of the infection and the need to thoroughly investigate the microbiological material sampled from the lacrimal ducts. Good effects of treatment resulted from oral use of doxycycline and local application of erythromycin. A precise removal of actinomycotic deposits and the applied antibiotic therapy resulted in a complete recovery without recurrences. The analyzed case confirms incidents in Poland of actinomycosis of the lacrimal ducts, and draws attention to this group of microorganisms that may cause infections in ophthalmology. This confirms the need for accurate diagnosis of microbial infections in the lacrimal ducts towards anaerobic bacteria. This would contribute to greater detection of a rare form of infection.
泪管放线菌病是一种由放线菌属细菌（通常为以色列放线菌）引起的罕见慢性感染。对一名72岁男性病例的分析，凸显了该感染的慢性性质以及对从泪管采集的微生物样本进行彻底调查的必要性。口服强力霉素和局部应用红霉素治疗效果良好。精确清除放线菌沉积物并采用抗生素治疗，使患者完全康复且未复发。该分析病例证实了波兰存在泪管放线菌病，并提请注意这组可能在眼科引起感染的微生物。这证实了对泪管中厌氧菌引起的微生物感染进行准确诊断的必要性，这将有助于更频繁地检测到这种罕见的感染形式。
