Romero-Trevejo J L, Somavilla-Lupiáñez J
Servicio de Oftalmología, Hospital Universitario Virgen de la Victoria, Málaga, España.
Servicio de Oftalmología, Hospital Universitario Virgen de la Victoria, Málaga, España.
Arch Soc Esp Oftalmol (Engl Ed). 2018 Jun;93(6):307-309. doi: 10.1016/j.oftal.2017.08.006. Epub 2017 Nov 11.
An 84 year-old woman was referred for evaluation of a painless swelling with small purulent discharge in her left upper canaliculus, and an associated epiphora of one-month duration. The patient was diagnosed with acute primary canaliculitis. She was treated with topical and oral antibiotics, as well as topical corticoids for three months, with little response. Surgical treatment with left upper canaliculotomy and curettage was then performed, and Gemella haemolysans was identified from the curetted material. The patient had no recurrence of the disease two months after the surgery.
This is the first time that Gemella haemolysans is described as unique agent causing primary canaliculitis.
一名84岁女性因左上泪小管无痛性肿胀伴少量脓性分泌物及相关的流泪症状（持续1个月）前来接受评估。该患者被诊断为急性原发性泪小管炎。她接受了局部和口服抗生素以及局部皮质类固醇治疗3个月，但效果甚微。随后进行了左上泪小管切开术和刮除术，从刮除物中鉴定出溶血孪生球菌。术后两个月患者疾病未复发。
这是首次将溶血孪生球菌描述为引起原发性泪小管炎的独特病原体。
