Journals Books 2687-5527 doi.org/10.36287/setsci
Latest Issue Archive Future Issues About Us
Conference Proceedings

SETSCI - Volume 4 (9) (2019)
ISAS WINTER-2019 (HSS) - 4th International Symposium on Innovative Approaches in Health and Sports Sciences, Samsun, Turkey, Nov 22, 2019

A Case of Bilateral Congenital Dacryocystocele Infected with Serratia marcescens
Ayşe İdil Çakmak1, Meryem Çetin2*, Özgen Köseoğlu Eser3
1Mustafa Kemal University, Hatay, Turkey
2Tokat Gaziosmanpaşa University, Tokat, Turkey
3Hacettepe University, Ankara, Turkey
* Corresponding author: meryemcetin55@yahoo.com
Published Date: 2019-12-23   |   Page (s): 99-101   |    59     3
https://doi.org/10.36287/setsci.4.9.064

ABSTRACT Congenital nasolacrimal duct obstruction (CNLDO) is a common disorder that affects approximately 6-20% of children in the first year of their life. Here we present a case of bilateral congenital dacryocystoceles infected with Serracia marcescens. A 50 day old male infant, born by caesarean section at term, presented to the clinic with a swelling and hyperemia on the region of the left lacrimal sac for 3 days, with a purulent discharge coming from both eyes. He had bilateral probing, irrigation and nasolacrimal tube silicone intubation under general anesthesia. During this procedure a heavy pus kept on coming from both canals and the ruptured area. This material was cultured in blood, MacConkey, and chocolate agar. S.marcescens was isolated which was shown to be susceptible to piperacillin, tazobactam, ceftazidim, cefepim, aztreonam, imipenem, meropenem, amikacin, gentamicin, tobramycin, ciprofloxacin, levofloxacin, tigecycline, trimethoprim-sulfamethoxazole; but resistant to netilmycin and colistin. The symptoms resolved in a week and the antibiotics were stopped. Conservative approach including gentle massage and warm compresses with topical antibiotics are recommended in the management of congenital dacryocystocoeles. If it progresses to acute dacryocystitis,  intravenous antibiotics are indicated to prevent fatal complications like meningitis, brain abscess and sepsis. In case of failure of probing, extensive marsupialization of the cyst, silicone tube implantation or balloon dacryocystoplasty is recommended.
KEYWORDS Serracia marcescens, dacryocystocele
REFERENCES 1. Nesi FA, Lishman RD, Levine MR. Ophthalmic plastic and reconstructive surgery. 2nd ed. Congenital lacrimal disorders. St.Louis: Mosby-Year Book, Inc.; 1998.
2. Vagge A, Ferro Desideri L, Nucci P, Serafino M, Giannaccare G, Lembo A, Traverso CE.Congenital Nasolacrimal Duct Obstruction (CNLDO):A Review. Diseases. 2018 Oct 22;6(4).
3. Becker BB. The treatment of congenital dacryocystocele. Am J Ophthalmol 2006;142:835-838.
4. Wong RK, VanderVeen DK. Presentation and management of congenital dacryocystocele. Pediatrics 2008;122:e1108-e1112.
5. Al-Faky YL, Naeem T, Al-Sobaie N, Al-Huthail R, Al-Odan H, Osman EA, et al. Value of microbiology study in congenital nasolacrimal duct obstruction. Saudi J Ophthalmol 2012;26: 223-8.
6. Ewete T, Alabi AS.Serratia marcescens Lacrimal Canaliculitis. Ophthalmology Research: An International Journal 6(2): 1-4, 2016.
7. Parment PA. The role of Serratia marcescens in soft contact lens associated ocular infections. Acta Ophthalmol. Scand. 1997: 75: 67-71.
8. MacEwen CJ, Young JD. Epiphora during the first year of life. Eye 1991, 5, 596–600.
9. Cavazza S, Laffi GL, Lodi L, Tassinari G, Dall'Olio.Acta Otorhinolaryngol Ital. 2008 Dec;28(6):298-301. Congenital dacryocystocele: diagnosis and treatment. Congenital Dacryocystocele: diagnosis and treatment. Acta Otorhinolaryngol Ital 2008;28:298-301.


SET Technology - Turkey

eISSN  : 2687-5527    
DOI : doi.org/10.36287/setsci

E-mail : info@set-science.com
+90 533 2245325

Tokat Technology Development Zone Gaziosmanpaşa University Taşlıçiftlik Campus, 60240 TOKAT-TURKEY
©2018 SET Technology