Indian Journal of Ophthalmology

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

Actinomycetes canaliculitis complicating congenital nasolacrimal duct obstruction in an infant


Akshay Gopinathan Nair1, Nayana A Potdar2, Swaranjali S Gore2, Amol Y Ganvir2, Monisha K Apte2, Trupti R Marathe2, Chaya A Kumar3, Chhaya A Shinde2 
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

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.


How to cite this article:
Nair AG, Potdar NA, Gore SS, Ganvir AY, Apte MK, Marathe TR, Kumar CA, Shinde CA. Actinomycetes canaliculitis complicating congenital nasolacrimal duct obstruction in an infant.Indian J Ophthalmol 2018;66:574-577


How to cite this URL:
Nair AG, Potdar NA, Gore SS, Ganvir AY, Apte MK, Marathe TR, Kumar CA, Shinde CA. Actinomycetes canaliculitis complicating congenital nasolacrimal duct obstruction in an infant. Indian J Ophthalmol [serial online] 2018 [cited 2024 Mar 29 ];66:574-577
Available from: https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=2018;volume=66;issue=4;spage=574;epage=577;aulast=Nair;type=0