Aggregatibacter aphrophilus chronic lacrimal canaliculitis: a case report

BACKGROUND: Chronic canaliculitis is often misdiagnosed as conjunctivitis, delaying proper documentation and management. Aggregatibacter aphrophillus has not been implicated in chronic canaliculitis. CASE PRESENTATION: We report a case of unilateral chronic epiphora associated with chronic lacrimal...

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Autores principales: Boulze-Pankert, Marie, Roux, Cécile, Nkamga, Vanessa D., Gouriet, Frédérique, Rojat-Habib, Marie-Christine, Drancourt, Michel, Hoffart, Louis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4971669/
https://www.ncbi.nlm.nih.gov/pubmed/27485631
http://dx.doi.org/10.1186/s12886-016-0312-3
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author Boulze-Pankert, Marie
Roux, Cécile
Nkamga, Vanessa D.
Gouriet, Frédérique
Rojat-Habib, Marie-Christine
Drancourt, Michel
Hoffart, Louis
author_facet Boulze-Pankert, Marie
Roux, Cécile
Nkamga, Vanessa D.
Gouriet, Frédérique
Rojat-Habib, Marie-Christine
Drancourt, Michel
Hoffart, Louis
author_sort Boulze-Pankert, Marie
collection PubMed
description BACKGROUND: Chronic canaliculitis is often misdiagnosed as conjunctivitis, delaying proper documentation and management. Aggregatibacter aphrophillus has not been implicated in chronic canaliculitis. CASE PRESENTATION: We report a case of unilateral chronic epiphora associated with chronic lacrimal canaliculitis resistant to prolonged topical antibiotic treatment in a 65-year-old woman without notable medical history. Canaculotomy, curettage with removal of concretions and tubing with silicone stent for six weeks resolved this chronic infection. Culturing lacrimal secretions and concretions yielded Aggregatibacter aphrophilus in pure culture. Histological analyses showed elongated seed clusters surrounded by neutrophils. Fluorescence in Situ Hybridization confirmed the presence of bacteria in two distinctive concretions. CONCLUSION: This first documented case of A. aphrophilus chronic lacrimal canaliculitis illustrates that optimal surgical management of chronic lacrimal canaliculitis allows for both accurate microbiological diagnosis and treatment.
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spelling pubmed-49716692016-08-04 Aggregatibacter aphrophilus chronic lacrimal canaliculitis: a case report Boulze-Pankert, Marie Roux, Cécile Nkamga, Vanessa D. Gouriet, Frédérique Rojat-Habib, Marie-Christine Drancourt, Michel Hoffart, Louis BMC Ophthalmol Case Report BACKGROUND: Chronic canaliculitis is often misdiagnosed as conjunctivitis, delaying proper documentation and management. Aggregatibacter aphrophillus has not been implicated in chronic canaliculitis. CASE PRESENTATION: We report a case of unilateral chronic epiphora associated with chronic lacrimal canaliculitis resistant to prolonged topical antibiotic treatment in a 65-year-old woman without notable medical history. Canaculotomy, curettage with removal of concretions and tubing with silicone stent for six weeks resolved this chronic infection. Culturing lacrimal secretions and concretions yielded Aggregatibacter aphrophilus in pure culture. Histological analyses showed elongated seed clusters surrounded by neutrophils. Fluorescence in Situ Hybridization confirmed the presence of bacteria in two distinctive concretions. CONCLUSION: This first documented case of A. aphrophilus chronic lacrimal canaliculitis illustrates that optimal surgical management of chronic lacrimal canaliculitis allows for both accurate microbiological diagnosis and treatment. BioMed Central 2016-08-02 /pmc/articles/PMC4971669/ /pubmed/27485631 http://dx.doi.org/10.1186/s12886-016-0312-3 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Boulze-Pankert, Marie
Roux, Cécile
Nkamga, Vanessa D.
Gouriet, Frédérique
Rojat-Habib, Marie-Christine
Drancourt, Michel
Hoffart, Louis
Aggregatibacter aphrophilus chronic lacrimal canaliculitis: a case report
title Aggregatibacter aphrophilus chronic lacrimal canaliculitis: a case report
title_full Aggregatibacter aphrophilus chronic lacrimal canaliculitis: a case report
title_fullStr Aggregatibacter aphrophilus chronic lacrimal canaliculitis: a case report
title_full_unstemmed Aggregatibacter aphrophilus chronic lacrimal canaliculitis: a case report
title_short Aggregatibacter aphrophilus chronic lacrimal canaliculitis: a case report
title_sort aggregatibacter aphrophilus chronic lacrimal canaliculitis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4971669/
https://www.ncbi.nlm.nih.gov/pubmed/27485631
http://dx.doi.org/10.1186/s12886-016-0312-3
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