A Para-Canalicular Abscess Resembling an Inflamed Chalazion
Background. Lacrimal infections by Actinomyces are rare and commonly misdiagnosed for long periods of time. They account for 2% of all lacrimal diseases. Case Report. We report a case of a 70-year-old female patient suffering from a para-canalicular abscess in the medial canthus of the left eye, bes...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/618367 |
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| author | Diamantis Almaliotis Elias Nakos Thomas Siempis Triantafyllia Koletsa Ioannis Kostopoulos Maria Chatzipantazi Vasileios Karampatakis |
| author_facet | Diamantis Almaliotis Elias Nakos Thomas Siempis Triantafyllia Koletsa Ioannis Kostopoulos Maria Chatzipantazi Vasileios Karampatakis |
| author_sort | Diamantis Almaliotis |
| collection | DOAJ |
| description | Background. Lacrimal infections by Actinomyces are rare and commonly misdiagnosed for long periods of time. They account for 2% of all lacrimal diseases. Case Report. We report a case of a 70-year-old female patient suffering from a para-canalicular abscess in the medial canthus of the left eye, beside the lower punctum lacrimale, resembling a chalazion. Purulence exited from the punctum lacrimale due to inflammation of the inferior canaliculus (canaliculitis). When pressure was applied to the mass, a second exit of purulence was also observed under the palpebral conjunctiva below the lacrimal caruncle. A surgical excision was performed followed by administration of local antibiotic therapy. The histopathological examination of the extracted mass revealed the existence of actinomycosis. Conclusion. Persistent or recurrent infections and lumps of the eyelids should be thoroughly investigated. Actinomyces as a causative agent should be considered. Differential diagnosis is broad and should include canaliculitis, chalazion, and multiple types of neoplasias. For this reason, in nonconclusive cases, a histopathological examination should be performed. |
| format | Article |
| id | doaj-art-7007a7637ed64c5295fefdb7389f050b |
| institution | Kabale University |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-7007a7637ed64c5295fefdb7389f050b2025-02-03T01:31:34ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302013-01-01201310.1155/2013/618367618367A Para-Canalicular Abscess Resembling an Inflamed ChalazionDiamantis Almaliotis0Elias Nakos1Thomas Siempis2Triantafyllia Koletsa3Ioannis Kostopoulos4Maria Chatzipantazi5Vasileios Karampatakis6Laboratory of Experimental Opthalmology, Medical School, Aristotle University of Thessaloniki, University Campus, 54124 Thessaloniki, GreeceLaboratory of Experimental Opthalmology, Medical School, Aristotle University of Thessaloniki, University Campus, 54124 Thessaloniki, GreeceLaboratory of Experimental Opthalmology, Medical School, Aristotle University of Thessaloniki, University Campus, 54124 Thessaloniki, GreeceLaboratory of Experimental Opthalmology, Medical School, Aristotle University of Thessaloniki, University Campus, 54124 Thessaloniki, GreeceLaboratory of Experimental Opthalmology, Medical School, Aristotle University of Thessaloniki, University Campus, 54124 Thessaloniki, GreeceLaboratory of Experimental Opthalmology, Medical School, Aristotle University of Thessaloniki, University Campus, 54124 Thessaloniki, GreeceLaboratory of Experimental Opthalmology, Medical School, Aristotle University of Thessaloniki, University Campus, 54124 Thessaloniki, GreeceBackground. Lacrimal infections by Actinomyces are rare and commonly misdiagnosed for long periods of time. They account for 2% of all lacrimal diseases. Case Report. We report a case of a 70-year-old female patient suffering from a para-canalicular abscess in the medial canthus of the left eye, beside the lower punctum lacrimale, resembling a chalazion. Purulence exited from the punctum lacrimale due to inflammation of the inferior canaliculus (canaliculitis). When pressure was applied to the mass, a second exit of purulence was also observed under the palpebral conjunctiva below the lacrimal caruncle. A surgical excision was performed followed by administration of local antibiotic therapy. The histopathological examination of the extracted mass revealed the existence of actinomycosis. Conclusion. Persistent or recurrent infections and lumps of the eyelids should be thoroughly investigated. Actinomyces as a causative agent should be considered. Differential diagnosis is broad and should include canaliculitis, chalazion, and multiple types of neoplasias. For this reason, in nonconclusive cases, a histopathological examination should be performed.http://dx.doi.org/10.1155/2013/618367 |
| spellingShingle | Diamantis Almaliotis Elias Nakos Thomas Siempis Triantafyllia Koletsa Ioannis Kostopoulos Maria Chatzipantazi Vasileios Karampatakis A Para-Canalicular Abscess Resembling an Inflamed Chalazion Case Reports in Ophthalmological Medicine |
| title | A Para-Canalicular Abscess Resembling an Inflamed Chalazion |
| title_full | A Para-Canalicular Abscess Resembling an Inflamed Chalazion |
| title_fullStr | A Para-Canalicular Abscess Resembling an Inflamed Chalazion |
| title_full_unstemmed | A Para-Canalicular Abscess Resembling an Inflamed Chalazion |
| title_short | A Para-Canalicular Abscess Resembling an Inflamed Chalazion |
| title_sort | para canalicular abscess resembling an inflamed chalazion |
| url | http://dx.doi.org/10.1155/2013/618367 |
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