泪管炎,泪小管的炎症,可以由多种病原体引起,最常见的细菌来自放线菌属,链球菌,和葡萄球菌。原发性泪小管炎通常需要手术去除泪小管结石和适当的抗生素覆盖。作者报告了一例77岁的女性,有泪点塞病史,该女性患有慢性泪小管炎,并伴有Providenciastuartii的泪小管。先前尚未将P.stuartii描述为原发性小管炎的原因。此病例突显了一种新的生物,该生物会导致泪小管炎,并强调了泪小管切开术和刮宫后物种形成和抗生素敏感性测试的重要性。P.stuartii应该被认为是细菌性泪小管炎与泪小管的区别,特别是在没有泪小管切开术的局部抗生素治疗中症状持续的患者。
Canaliculitis, inflammation of the lacrimal canaliculi, can be caused by numerous pathogens, most commonly bacteria from the genera Actinomyces, Streptococcus, and Staphylococcus. Primary canaliculitis often requires surgical
canaliculolith removal and appropriate antibiotic coverage. The authors report a case of a 77-year-old woman with a history of punctal plugs who presented with chronic canaliculitis with canaliculoliths that grew Providencia stuartii. P. stuartii has not previously been described as a cause of primary canaliculitis. This case highlights a new organism that causes canaliculitis with canaliculoliths and stresses the importance of speciation and antibiotic sensitivity testing following canaliculotomy and curettage. P. stuartii should be considered in the differential for bacterial canaliculitis with canaliculoliths, especially in patients with persistent symptoms on topical antibiotic therapy without canaliculotomy.