Actinomyces ductular dacryoadenitis resulting in a lacrimal gland abscess. (2nd January 2022)

• Record Type: Journal Article
• Authors: Mechel, Elzbieta; Sheikh, Ahmed; Rodgers, Rand; Hymowitz, Maggie; Cocker, Rubina
• Is Part Of: Orbit. Volume 41:Number 1(2022)
• Page Start: 105
• Page End: 107
• Publication Date: 2022-01-02
• Subjects: Lacrimal gland abscess -- dacryoadenitis -- Actinomyces -- ductulitis; Eye-sockets -- Surgery -- Periodicals; Eye-sockets -- Diseases -- Periodicals; Orbit -- surgery -- Periodicals; Orbital Diseases -- Periodicals; 617.7
• DOI: 10.1080/01676830.2021.1939728
• Languages: English
• ISSNs: 0167-6830

Abstract

ABSTRACT: Lacrimal gland ductulitis is a rare infection of the lacrimal gland ductules. Individuals affected report a history of chronic mucopurulent conjunctivitis with "stringy" discharge. All patients are clinically noted to have an inflamed lacrimal gland ductule. Prior reports have suggested Actinomyces species as the "probable" etiology. We report the findings of a 42-year-old male found to have lacrimal gland ductulitis with a lacrimal gland abscess, confirmed by radiologic studies. Surgical drainage was necessitated and performed. Histopathologic analysis confirmed colonization by Actinomyces species, as well as the presence of sulfur granules. To our knowledge, this is the first report of Actinomyces lacrimal gland ductulitis resulting in a secondary lacrimal gland abscess.