Hussain I, Bonshek R E, Loudon K, Armstrong M, Tullo A B
Royal Eye Hospital, Manchester, UK.
Eye (Lond). 1993;7 ( Pt 4):542-4. doi: 10.1038/eye.1993.118.
We present 7 cases of canalicular involvement with Actinomyces collected over a 5-year period. All patients had involvement of one canaliculus, upper or lower, with lacrimal drainage patent to syringing. Curettings obtained by incising the involved canaliculi yielded Actinomyces species (5 cases) and Arachnia propionica (2 cases), typically in association with a mixed bacterial growth. Our results show that these patients often remain undiagnosed for months or even years, and are treated inappropriately for their recurrent symptoms. Despite sensitivity of Actinomyces to a broad spectrum of antibiotics, medical therapy alone does not eradicate the disease, and surgical evacuation of all concretions is essential to achieve a cure.
我们呈现了5年期间收集到的7例泪小管放线菌感染病例。所有患者均有一条泪小管（上泪小管或下泪小管）受累，泪道冲洗时泪道通畅。通过切开受累泪小管获取的刮除物培养出放线菌属（5例）和丙酸蛛网菌（2例），通常伴有混合细菌生长。我们的结果表明，这些患者常常数月甚至数年未被诊断出来，并且因其反复出现的症状而接受了不恰当的治疗。尽管放线菌对多种抗生素敏感，但单纯药物治疗并不能根除该病，彻底清除所有结石对于治愈至关重要。
