Assuntos
Humanos , Masculino , Pré-Escolar , Sinusite/complicações , Sinusite/diagnóstico por imagem , Seio Cavernoso/diagnóstico por imagem , Trombose do Corpo Cavernoso/diagnóstico , Trombose do Corpo Cavernoso/etiologia , Trombose do Corpo Cavernoso/terapia , Streptococcus constellatus/isolamento & purificação , Tomografia Computadorizada por Raios X , Anti-Infecciosos/uso terapêutico , Anticoagulantes/uso terapêuticoRESUMO
ABSTRACT Chronic lacrimal canaliculitis is a rare infection of the lacrimal system, and can lead to misdiagnosis due to its overlapping presentation to other common entities. The authors report a case of lacrimal canaliculitis with a three-year history of recurrent unilateral red eye and mucopurulent discharge. Here, we describe the clinical course, surgical details, and microbial analysis of canaliculitis infection.
RESUMO A canaliculite lacrimal crónica é uma infecção rara do sistema lacrimal e pode levar a erros de diagnóstico devido à sua apresentação sobreposta a outras entidades comuns. Os autores relatam um caso de canaliculite lacrimal com história de três anos de olho vermelho unilateral recorrente e secreção mucopurulenta. Aqui, descrevemos o curso clínico, os detalhes cirúrgicos e a análise microbiológica da infecção por canaliculite.
Assuntos
Humanos , Masculino , Adulto , Infecções Estreptocócicas/diagnóstico , Streptococcus constellatus/isolamento & purificação , Canaliculite/diagnóstico , Infecções Estreptocócicas/cirurgia , Doença Crônica , Canaliculite/cirurgia , Canaliculite/microbiologiaRESUMO
Chronic lacrimal canaliculitis is a rare infection of the lacrimal system, and can lead to misdiagnosis due to its overlapping presentation to other common entities. The authors report a case of lacrimal canaliculitis with a three-year history of recurrent unilateral red eye and mucopurulent discharge. Here, we describe the clinical course, surgical details, and microbial analysis of canaliculitis infection.
Assuntos
Canaliculite/diagnóstico , Infecções Estreptocócicas/diagnóstico , Streptococcus constellatus/isolamento & purificação , Adulto , Canaliculite/microbiologia , Canaliculite/cirurgia , Doença Crônica , Humanos , Masculino , Infecções Estreptocócicas/cirurgiaRESUMO
There are few studies reporting pyogenic liver abscess (PLA) caused by Streptococcus constellatus in the medical literature. S. constellatus is a comensal microorganism that belongs to the Streptococcus milleri's bacteria group and is not considered to be pathogenic for humans. We report the case of a 23-year-old man with a 15-days history of abdominal pain in the right flank followed by daily fever, chills, nausea, vomits, sialism and jaundice. Physical examination revealed moderate jaundice (2+/4+), abdominal distention, generalized pain and tender over the right flank with positive Blumberg's sign. Additionally, the liver was palpable 5 cm below the costal margin in the right midclavicular line. Abdominal Computerized Tomography showed multiple hypodense hepatic images suggestive of liver abscesses. The patient underwent surgical exploration of the abdomen through a sub-costal incision and, during operation ruptured abscess localized on the hepatic segment III was drained. Culture of the purulent material obtained at surgery yielded Streptococcus constellatus as the causative agent. Liver abscess is a potential life-threatening disease that must be treated as soon as possible with invasive approaches, if necessary, and bacteriological studies performed when possible, allowing isolation of causative agents and specific antibiotic therapy.