Document Detail

Dacryocystitis Secondary to Intranasal Cocaine Abuse: A Case Report and Literature Review.
MedLine Citation:
PMID:  23909455     Owner:  NLM     Status:  Publisher    
Abstract Purpose: To report a case of dacryocystitis secondary to intranasal cocaine abuse and to review the literature on the effects of cocaine on sinus, nasal and lacrimal structures. Methods: Case report and literature review. Results: A 33-year-old male presented with unilateral epiphora and discharge, and clinical examination was consistent with dacryocystitis. He had a 2-year history of intranasal cocaine use. Computed tomography revealed extensive bilateral intranasal and sinus destruction, consistent with cocaine abuse. He was treated with antibiotics followed by dacryocystorhinostomy with silicone intubation. He had 2 recurrences of dacryocystitis and underwent one additional lacrimal surgery. Conclusions: Cocaine abuse and its accompanying intranasal and sinus destruction should be considered when determining the etiology of nasolacrimal obstruction and dacryocystitis. A medical and social history with specific questions about drug abuse may be useful. Computed tomography is helpful in delineating damage to the sinuses, nose and lacrimal system. Management with antibiotics and dacryocystorhinostomy surgery may result in resolution of symptoms.
Felicia D Allard; Eric U Yee; Suzanne K Freitag
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-8-2
Journal Detail:
Title:  Orbit (Amsterdam, Netherlands)     Volume:  -     ISSN:  1744-5108     ISO Abbreviation:  Orbit     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-8-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8301221     Medline TA:  Orbit     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of Pathology, Beth Israel Deaconess Medical Center, Boston , Massachusetts , USA and.
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