Document Detail

Acute suppurative bacterial dacryoadenitis: a case series.
MedLine Citation:
PMID:  23603486     Owner:  NLM     Status:  Publisher    
BACKGROUND: We present a series of patients with acute suppurative bacterial dacryoadenitis and review the clinical presentation, microbiology, treatment options and outcome. METHODS: A multicentre, retrospective, case series review of patients with a clinical diagnosis of acute bacterial suppurative dacryoadenitis (ASBD). Records were examined to obtain information regarding patient demographics, presenting symptoms and signs, radiology, microbiology, management, outcomes and follow-up. RESULTS: 11 patients (9 men, 2 women; mean age 43.9 years, range: 6-82 years) were included. Average time to presentation was 2.8 days, and predisposing conditions were found in 45% of cases. Common presenting symptoms were eyelid swelling, pain, redness and diplopia, and common signs were ptosis, discharge and restriction of eye movements. The most common causative bacteria were Staphylococcus aureus and skin flora. Lacrimal gland swelling was universally seen on CT, with globe indentation of displacement in 27% of cases. Intravenous antibiotics were used in 91% of cases, which subsequently resolved over an average period of 9.7 days. Those with abscess formation (n=2) required incision and drainage. CONCLUSIONS: ASBD is a rare condition that resolves quickly if managed appropriately. Underlying anatomical, infectious or inflammatory conditions should be investigated, and skin commensals should be covered with the instigation of antibiotic therapy.
Lucy A Goold; Simon N Madge; Alicia Au; Igal Leibovitch; Alan McNab; Krishna Tumuluri; Dinesh Selva
Related Documents :
7828386 - Possible inhibition of hepatic metabolism of quinidine by erythromycin.
24809876 - Review of the use of a semisynthetic bilaminar skin substitute in dermatology and a cas...
1336766 - Asbestos-related pleural thickenings in japanese sake brewers.
19946956 - Interleukin-6 polymorphisms modify the risk of periodontitis: a systematic review and m...
10486036 - Liposarcoma in association with total hip replacement.
11580146 - Microsatellite instability and alternative genetic pathway in intrahepatic cholangiocar...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-4-19
Journal Detail:
Title:  The British journal of ophthalmology     Volume:  -     ISSN:  1468-2079     ISO Abbreviation:  Br J Ophthalmol     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-4-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0421041     Medline TA:  Br J Ophthalmol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Adelaide, Australia.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Comparison of profile of retinopathy of prematurity in semiurban/rural and urban NICUs in Karnataka,...
Next Document:  Spectrum of pathogens in acute cholangitis in patients with and without biliary endoprosthesis.