Pediatr. praxi. 2015;16(2):114-115

Lacrimal sac empyema in the coincidence with infectious mononucleosis

MUDr.Jakub Syrovátka1, MUDr.Michaela Syrovátková2, MUDr.Ivan Kalivoda1
1 Oddělení ORL a chirurgie hlavy a krku Nemocnice Nový Jičín, a. s.
2 Dětské oddělení Nemocnice Nový Jičín, a. s.

The authors describe a case report of a 12-year-old girl with a rare coincidence of EBV infection and the lacrimal sac empyema. The Inflammation

and oedema of the nasal epithelium made by EBV results in intransient nasolacrimal duct obstruction and allows ascending

bacterial colonisation. Typical swelling in the medial corner and the lower eyelid together with the absence of sinusitis and CT findings

led to the correct diagnosis instead of initially anticipated sinogenic orbitocelulitis. After surgical drainage of the lacrimal sac abscess

done in analgosedation, there was a complete recovery without any lacrimal symptoms.

Keywords: dacryocystitis, dacryocystorinostomy, infectious mononucleosis, fluorescein dye disapperance test

Published: June 1, 2015  Show citation

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Syrovátka J, Syrovátková M, Kalivoda I. Lacrimal sac empyema in the coincidence with infectious mononucleosis. Pediatr. praxi. 2015;16(2):114-115.
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    References

    1. Komínek P, Červenka S, Mullner K. Nemoci slzných cest, diagnostika a léčba. Praha: Maxdorf s. r. o., 2003.
    2. Faden HS. Dacryocystitis in children. Clin Pediatr (Phila), 2006; 45(6): 567-569. Go to original source... Go to PubMed...
    3. Ambrožová H. Infekční mononukleóza. Pediatr. Praxi, 2005; 5: 244-246.
    4. Matoba AY. Ocular disease associated with Epstein-Barr virus infection. Surv Ophthalmol, 1990; 35: 145-150. Go to original source...
    5. Decker GR, Berberian BJ, Sulica VI. Periorbital and eyelid edema: the initial manifestation of acute infectious mononucleosis. Cutis 1991; 47: 323-324. Go to PubMed...
    6. Bass MH. Periorbital edema as the initial sign of infectious mononucleosis. J Pediatr, 1954; 45(2): 204-205. Go to original source... Go to PubMed...
    7. Burger J, Thurau S, Haritoglou C. Bilateral lid swelling during infectious mononucleosis (Hoagland-sign). Klin Monbl Augenheilkd, 2005; 222(12): 1014-1016. Go to original source... Go to PubMed...
    8. Hoagland RJ. Infectious mononucleosis. Am J Med 1952; 13: 158-171. Go to original source... Go to PubMed...
    9. Schmitt NJ, Beatty RL, Kennerdell JS. Superior ophthalmic vein thrombosis in a patient with dacryocystitis-induced orbital cellulitis. Ophthal Plast Reconstr Surg., 2005; 21: 387-389. Go to original source...
    10. Chandler JR, Langenbrunner DJ, Stevens ER. The pathogenesis of orbital complications in acute sinusitis. Laryngoscope 1970; 80: 1414-1428. Go to original source... Go to PubMed...
    11. Ghauri AJ, Keane PA, Scotcher SM, Clarke JL, Mange SN. Acute dacryocystitis associated with Epstein-Barr virus infection. Orbit, 2011; 30(5): 245-248. Go to original source... Go to PubMed...
    12. Kouba K, Hlavatá E, Karel I. Flegmonózní dacryocystitis a paréza měkkého patra jako vzácné komplikace infekční mononukleózy. Cesk Oftalmol. 1970; 26(3): 181-183. Go to PubMed...
    13. Atkinson PL, Ansons AM, Patterson A. Infectious mononukleosis presenting as bilateral acute dacryocystitis. British Journal of Ophtalmology, 1990; 74: 750. Go to original source... Go to PubMed...
    14. Steele RJ, Meyer DR. Nasolacrimal duct obstruction and acute dacryocystitis associated with infectious mononucleosis (Epstein-Barr virus). Am J Ophthalmol., 1993; 115(2): 265-266. Go to original source...
    15. Delbet C, PhamDang N, Mondie JM, Barthelemy I. Acute dacryocystitis complicating primary mononucleosis infection. Rev Stomatol Chir Maxillofac., 2010; 111(5-6): 334-336. Go to original source... Go to PubMed...
    16. Komínek P, Červenka S, Lenert R. Endoskopická endonazální dakryocystorinostomie v dětském věku. Otorinolaryngol., 1999; 48: 231-238.
    17. Fokkens WJ, Lund V, Mullol J. European Position Paper on Rhinosinusitis and Nasal Polyps 2012. Rhinology 2012; 23: 1-299. Go to original source...

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