Lai Tracy Hiu Ting, Lai Frank Hiu Ping, Chan Tommy Chung Yan, Young Alvin Lerrmann, Chong Kelvin Kam Lung
a Department of Ophthalmology , Tung Wah Eastern Hospital, Causeway Bay, Hong Kong.
b Department of Ophthalmology , Caritas Medical Centre, Shamshuipo, Hong Kong.
Orbit. 2017 Dec;36(6):468-472. doi: 10.1080/01676830.2017.1337197. Epub 2017 Aug 18.
Acute suppurative bacterial dacryoadenitis (ASBD) with abscess formation is rarely seen in clinical practice. A retrospective review of medical records in the past 8 years identified two unilateral cases in children, one developed presumably after methicillin-sensitive Staphylococcus aureus (MSSA) conjunctivitis and the other due to community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infection. Computerized tomography scans showed globe indentation by the enlarged lacrimal glands with rim-enhancing lesions. After failing to respond to intravenous antibiotics, both abscesses resolved promptly with surgical drainage without any long-term sequelae.
急性化脓性细菌性泪腺炎（ASBD）伴脓肿形成在临床实践中很少见。回顾过去8年的病历发现，有两例儿童单侧病例，一例可能在对甲氧西林敏感的金黄色葡萄球菌（MSSA）性结膜炎后发病，另一例由社区获得性耐甲氧西林金黄色葡萄球菌（CA-MRSA）感染引起。计算机断层扫描显示，肿大的泪腺压迫眼球，病变边缘强化。静脉使用抗生素治疗无效后，两个脓肿均通过手术引流迅速消退，未留下任何长期后遗症。
