amoxicillin-potassium-clavulanate-combination and Canaliculitis

An 84 year-old woman was referred for evaluation of a painless swelling with small purulent discharge in her left upper canaliculus, and an associated epiphora of one-month duration. The patient was diagnosed with acute primary canaliculitis. She was treated with topical and oral antibiotics, as well as topical corticoids for three months, with little response. Surgical treatment with left upper canaliculotomy and curettage was then performed, and Gemella haemolysans was identified from the curetted material. The patient had no recurrence of the disease two months after the surgery.. This is the first time that Gemella haemolysans is described as unique agent causing primary canaliculitis.

Topics: Aged, 80 and over; Amoxicillin-Potassium Clavulanate Combination; Canaliculitis; Combined Modality Therapy; Curettage; Dexamethasone; Female; Gemella; Gram-Positive Bacterial Infections; Humans; Ofloxacin; Tobramycin

A 68-year-old woman presented with a painless inflammation of the right superior eyelid that had started several weeks before. The clinical diagnosis concluded in canaliculitis and the solid concretions were surgically extracted from the superior canalicula. The anaerobic bacteria Fusobacterium nucleatum sp. nucleatum was isolated. Signs dramatically regressed two weeks after surgery followed by one course of oral amoxicillin and clavulanic acid associated with topical tobramycin. The clinical signs had disappeared two months later.

Topics: Aged; Amoxicillin-Potassium Clavulanate Combination; Anti-Bacterial Agents; Canaliculitis; Combined Modality Therapy; Corneal Ulcer; Dacryocystitis; Dacryocystorhinostomy; Drug Therapy, Combination; Emergencies; Female; Fusobacterium Infections; Fusobacterium nucleatum; Humans; Lacrimal Apparatus Diseases; Lacrimal Duct Obstruction; Tobramycin