Lacrimal Infections

Paul G. Auwaerter, M.D.

Lacrimal Infections is a topic covered in the Johns Hopkins ABX Guide.

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PATHOGENS

Common pathogens:
- Haemophilus influenzae
- Candida spp.
- Actinomyces
- S. aureus
- Streptococcus species
Dacryoadenitis (DA):
- Acute: staphylococci, streptococci; rarely N. gonorrhoeae.
  - Pediatrics: EBV, mumps, CMV, enteroviruses
- Chronic DA: usually non-infectious. If infectious, consider TB, syphilis, leprosy, cysticercosis, schistosomiasis; blastomycosis, histoplasmosis.
Canaliculitis (CA):
- Acute: primary condition due to infection such as Actinomyces, Propionibacterium acnes, streptococcal species, Candida, Aspergillus, Nocardia, HSV, VZV. Many other pathogens described.
- Secondary CA: due to punctal or intracanalicular plug; common presentation is the dry eye syndrome.
Dacrocystitis (DC):
- Acute: staphylococci, streptococci, Pseudomonas aeruginosa, H. influenzae.
- Chronic: fungal (Candida, Aspergillus), mycobacteria (TB and MOTT) and non-infectious causes (such as sarcoid).

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Last updated: July 2, 2016

Citation

Auwaerter, Paul G. "Lacrimal Infections." Johns Hopkins ABX Guide, The Johns Hopkins University, 2016. Johns Hopkins Guide, www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540303/all/Lacrimal_Infections.

Auwaerter PG. Lacrimal Infections. Johns Hopkins ABX Guide. The Johns Hopkins University; 2016. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540303/all/Lacrimal_Infections. Accessed February 24, 2019.

Auwaerter, P. G. (2016). Lacrimal Infections. In Johns Hopkins ABX Guide. Available from https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540303/all/Lacrimal_Infections

Auwaerter PG. Lacrimal Infections [Internet]. In: Johns Hopkins ABX Guide. The Johns Hopkins University; 2016. [cited 2019 February 24]. Available from: https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540303/all/Lacrimal_Infections

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TY - ELEC T1 - Lacrimal Infections ID - 540303 A1 - Auwaerter,Paul,M.D. Y1 - 2016/07/02/ BT - Johns Hopkins ABX Guide UR - https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540303/all/Lacrimal_Infections PB - The Johns Hopkins University DB - Johns Hopkins Guide DP - Unbound Medicine ER -