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Case Reports
. 2012 Jan;5(1):92-4.
doi: 10.4103/0974-2700.93096.

Bilateral dacryoadenitis

Charlotte Derr  1 , Ankit Shah
Affiliations
Case Reports

Bilateral dacryoadenitis

Charlotte Derr et al. J Emerg Trauma Shock. 2012 Jan.

Abstract

Acute dacryoadenitis is an uncommon condition that involves inflammation of the lacrimal gland. In rare instances, dacryoadenitis may be bilateral. A delay in proper treatment of an otherwise simple case of dacryoadenitis may lead to significant soft tissue morbidity such as cellulitis, lacrimal gland abscess, or orbital abscess. We report the case of a 24-year-old male who presented to the emergency department with acute bilateral dacryoadenitis. The patient's symptoms did not respond to oral antibiotics and he subsequently required admission for intravenous antibiotics. During his hospitalization the patient had diagnostic testing to try to determine the etiology for his symptoms. The unique aspects of managing a case of bilateral dacryoadenitis as well as treatment recommendations are discussed in this case report.

Keywords: Dacryoadenitis; eye diseases; lacrimal apparatus diseases.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Erythema and edema are greatest over the lateral one-third of the upper eyelids (photo was taken after the application of flouroscein and with the patient's written permission)
Figure 2
Figure 2
Chemosis and injection of the sclera are present (photo was taken after the application of flouroscein and with the patient's written permission)
Figure 3
Figure 3
Coronal CT image showing bilateral lacrimal gland inflammation (arrows)
Figure 4
Figure 4
Axial CT image showing bilateral lacrimal gland inflammation (arrows)
See this image and copyright information in PMC

References

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