Medical College of Wisconsin
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Mucormycosis infection of the lacrimal sac. Ophthalmic Plast Reconstr Surg 2009;25(6):494-6

Date

11/26/2009

Pubmed ID

19935261

DOI

10.1097/IOP.0b013e3181b80e81

Scopus ID

2-s2.0-73949116796 (requires institutional sign-in at Scopus site)   4 Citations

Abstract

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.

Author List

Kapur R, Aakalu VK, August CZ, Weiss RA

Author

Vinay Kumar Aakalu MPH, MD Chair, Professor in the Ophthalmology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Aged
Amphotericin B
Antifungal Agents
Dacryocystorhinostomy
Eye Infections, Fungal
Female
Humans
Infusions, Intravenous
Lacrimal Apparatus
Lacrimal Duct Obstruction
Mucormycosis