J Korean Ophthalmol Soc.  2011 Aug;52(8):979-983. 10.3341/jkos.2011.52.8.979.

A Case of Chronic Dacryocystitis Caused by Achromobacter Xylosoxidans

• Kim CR
• Kim GN
• Kim KH
• Yoo JM
• Seo SW

• KMID: 2214777
• DOI: http://doi.org/10.3341/jkos.2011.52.8.979

Abstract

PURPOSE
To report a case of chronic dacryocystitis caused by Achromobacter xylosoxidans.
CASE SUMMARY
A 73-year-old female was referred to our clinic for management of chronic dacryosyctitis from which she did not to recover despite empirical therapy. A. xylosoxidans was isolated from purulent discharge. Based on the results of susceptibility testing, therapy was changed to fortified ceftazidime eye-drop 6 times a day and intravenous tazocin 4.5 g/20 ml (piperacillin 2 g/tazobactam 0.25 g) 3 times a day. All symptoms were resolved after treatment with sensitive antibiotics and external dacryocystorhinostomy.
CONCLUSIONS
To our knowledge, this is the first report of A. xylosoxidans dacryocystitis. A. xylosoxidans are rare but potential pathogens which cause dacryocystitis. The cultures and sensitivity test were collected and processed to detect the presence of unusual pathogens in a case with persistent infection despite conventional treatment.

Keyword

Achromobacter xylosoxidans; Dacryocystitis

MeSH Terms

Achromobacter
Achromobacter denitrificans
Aged
Anti-Bacterial Agents
Ceftazidime
Dacryocystitis
Female
Humans
Penicillanic Acid
Piperacillin
Anti-Bacterial Agents
Ceftazidime
Penicillanic Acid
Piperacillin

Figure

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  Figure 1. (A) Patient's apearance with the left dacryocystitis. (B) The purulent material to reflux through the lacrimal fistula.

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  Figure 2. Achromobacter xylosoxidans were grown in blood agar plate.

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  Figure 3. Infiltration of inflammatory cells in lacrimal sac mucosa (H&E, ×100).

Reference

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