Dsouza Susan, Kamath Gurudutt M, Kamath Ajay R, Sahoo Kausalyakumari, Sharma Harshita
a Department of Ophthalmology.
b Department of Pathology , Kasturba Medical College, Mangalore, Manipal University , Manipal , Karnataka , India.
Orbit. 2018 Jun;37(3):212-214. doi: 10.1080/01676830.2017.1383481. Epub 2017 Oct 17.
A middle aged woman presented to us with a localised well defined swelling of 3 months duration. It was located just below the lower eyelid punctum and was constantly discharging whitish granules. We suspected it to be arising from the lacrimal apparatus and posted the patient for Dacryocystectomy. On the operating table we found a swelling in the region of the lacrimal sac which was later excised. Histopathology revealed Botryomycosis and Chronic Dacryocystitis. Botryomycosis is a rare condition and requires a high index of suspicion to diagnose it. It is confirmed by histopathology and culture. Surgical debridement is the treatment of choice in such cases with an assessment of the immune status. Long term antibiotic treatment is required in all conditions as recurrence is common.
一位中年女性前来就诊，有一个持续3个月的局限性、边界清晰的肿物。它位于下睑泪点下方，不断排出白色颗粒。我们怀疑它起源于泪器，于是安排患者进行泪囊切除术。在手术台上，我们在泪囊区域发现一个肿物，随后将其切除。组织病理学检查显示为放线菌病和慢性泪囊炎。放线菌病是一种罕见疾病，诊断需要高度的怀疑指数。通过组织病理学和培养来确诊。在这种情况下，手术清创是首选治疗方法，并评估免疫状态。所有病例都需要长期抗生素治疗，因为复发很常见。
