Ophthalmology--Mucormycosis infection of the lacrimal sac

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Ophthal Plast Reconstr Surg. 2009 Nov-Dec;25(6):494-6.

Mucormycosis infection of the lacrimal sac.

Kapur R, Aakalu VK, August CZ, Weiss RA.

Departments

of Ophthalmology and Visual Sciences, University of Illinois at Chicago

College of Medicine, Chicago, Illinois 60612, U.S.A.

Biopsy

of the lacrimal sac for patients with primary acquired nasolacrimal

duct obstruction has been a topic of debate for many years. The authors

present a case of a 72-year-old immunocompetent woman with a 2-month

history of epiphora secondary to nasolacrimal duct obstruction. During

an uneventful dacryorhinocystostomy, a routine lacrimal sac biopsy was

performed and revealed mucormycosis. After appropriate infectious

disease consultation, intensive antifungal therapy was given

uneventfully. The patient has not had any signs of active Mucor

infection after treatment in 6 months of follow up. This case

demonstrates the utility of routine lacrimal sac biopsy and stands as

an example of the potential to miss a serious diagnosis.

PMID: 19935261 [PubMed - in process]

http://www.ncbi.nlm.nih.gov/pubmed/19935261?itool=EntrezSystem2.PEntrez.Pubmed.P\

ubmed_ResultsPanel.Pubmed_RVDocSum & ordinalpos=1