Canaliculitis caused by Mycobacterium chelonae after lacrimal intubation with silicone tubes.
Two and a half weeks after a 62-year-old man underwent bilateral nasolacrimal intubation with silicone tubes, canaliculitis and conjunctivitis developed. Cultures yielded Mycobacterium chelonae sensitive to amikacin. Successful therapy required removal of the tubes followed by intensive intravenous and topical chemotherapy. This is, to our knowledge, the first report of mycobacterial infection as a complication of lacrimal intubation.
Rootman
D S
DS
Department of Ophthalmology, LSU Eye Center, New Orleans 70112-2234.
Insler
M S
MS
Wolfley
D E
DE
D000583:Amikacin / Q000627:therapeutic use; D002439:Cefotaxime / Q000627:therapeutic use; D003234:Conjunctivitis, Bacterial / Q000209:etiology; D006801:Humans; D007440:Intubation / Q000009:adverse effects*; D007767:Lacrimal Duct Obstruction / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009164:Mycobacterium Infections / Q000188:drug therapy / Q000209:etiology*; D012086:Reoperation; D012826:Silicone Elastomers
D012826:Silicone Elastomers; D000583:Amikacin; D002439:Cefotaxime