Lin Jenny, North Victoria S, Starr Christopher, Godfrey Kyle J
Department of Ophthalmology, Weill Cornell Medicine, New York, NY, USA.
Orbit. 2023 Apr;42(2):213-215. doi: 10.1080/01676830.2021.1985525. Epub 2021 Oct 6.
Canaliculitis, inflammation of the lacrimal canaliculi, can be caused by numerous pathogens, most commonly bacteria from the genera , and . Primary canaliculitis often requires surgical canaliculolith removal and appropriate antibiotic coverage. The authors report a case of a 77-year-old woman with a history of punctal plugs who presented with chronic canaliculitis with canaliculoliths that grew has not previously been described as a cause of primary canaliculitis. This case highlights a new organism that causes canaliculitis with canaliculoliths and stresses the importance of speciation and antibiotic sensitivity testing following canaliculotomy and curettage. should be considered in the differential for bacterial canaliculitis with canaliculoliths, especially in patients with persistent symptoms on topical antibiotic therapy without canaliculotomy.
泪小管炎，即泪小管的炎症，可由多种病原体引起，最常见的是 属和 属的细菌。原发性泪小管炎通常需要手术取出泪小管结石并给予适当的抗生素治疗。作者报告了一例77岁有泪点塞病史的女性，她患有伴有泪小管结石的慢性泪小管炎， 此前未被描述为原发性泪小管炎的病因。该病例突出了一种导致伴有泪小管结石的泪小管炎的新生物体，并强调了泪小管切开术和刮除术后进行菌种鉴定和抗生素敏感性测试的重要性。在鉴别伴有泪小管结石的细菌性泪小管炎时应考虑 ，特别是在局部抗生素治疗后仍有持续症状且未进行泪小管切开术的患者中。
