放線菌化膿性淚小管炎－病例報告

Actinomycotic Suppurative Canaliculitis-Case Report

10.30048/ACTASOS.198805.0094

李德孝(Te-Hsiao Lee)；吳霖貴(Lin-Gui Wu)；文良彥(Liang-Yen Wen)

Canaliculitis ； Actinomyces ； Concretions ； Curettage

台灣眼科醫學會會刊

27卷2期（1988 / 05 / 01）

527 - 530

繁體中文

化膿性淚小管炎是一種少見而容易被誤診、錯誤治療的疾病。其最常見的臨床表徵為不明原因的溢淚及慢性單側性的結膜炎。此類疾病中最常見的致病菌為枚線菌(Actinomycetaceae)，而以色列放線菌(Actinomyces Israelii)又為其最，它是一種厭氧性，格蘭氏陽性的分支狀絲狀細菌。其治療方法最主要是要徹底的刮除淚小管內之結石(Concretions)。

Actinomycosis occurs rarely in ophthalmic practice. It may be easily overlooked and a misdiagnosis and overtreatment made. Suppurative Canaliculitis is often the undiagnosed Cause of epiphora or chronic unilateral conjunctivitis. The most common pathogens that cause suppurative canaliculitis are members of the group of bacterias known as actinomycetes. Actinomyces israelii is still the most common bacteria. It is an anaerobic, gram-postive and branching filammentous bacterium. The treatment of canaliculitis is almost exclusively surgical: Curettage (canaliculotomy if necessary) Specific antibiotic therapy may be used as a surgical adjunt.