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CASE REPORT
Year : 2018  |  Volume : 66  |  Issue : 4  |  Page : 574-577

Actinomycetes canaliculitis complicating congenital nasolacrimal duct obstruction in an infant


1 Department of Ophthalmology, Lokmanya Tilak Municipal Medical College and General Hospital; Department of Ophthalmic Plastic Surgery and Ocular Oncology Services, Advanced Eye Hospital and Institute; Department of Ophthalmic Plastic Surgery and Ocular Oncology Services, Aditya Jyot Eye Hospital, Mumbai, Maharashtra, India
2 Department of Ophthalmology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India
3 Department of Microbiology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Akshay Gopinathan Nair
Department of Ophthalmic Plastic Surgery and Ocular Oncology, Advanced Eye Hospital and Institute, 30 The Affaires, Sector 17, Sanpada, Mumbai - 400 705, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1075_17

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Actinomyces israelii is a Gram-positive anaerobic organism commonly associated with canaliculitis in adults. Pediatric canaliculitis is relatively rare, especially in infancy. We report the case of an 11-month-old boy who presented with co-existing canaliculitis and congenital nasolacrimal obstruction. The presenting signs included epiphora, discharge, conjunctival congestion, and matting of lashes. On examination, punctual pouting, regurgitation, and yellow canaliculiths were noted. A punctoplasty and canalicular curettage were performed along with nasolacrimal probing. Microbiological tests confirmed the organisms to be A. israelii. We discuss the clinical features and management of Actinomyces-associated canaliculitis and review the available literature on pediatric canaliculitis.


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