Lacrimal gland abscess: an unusual complication of rhinosinusitis.
We report the case of a 72-year-old female suffering from mild myelodysplasia who initially presented with a peri-orbital cellulitis secondary to rhinosinusitis. The pre-septal infection failed to completely resolve despite intensive antibiotic therapy and endoscopic drainage of the sinuses. Computerised tomography revealed a complicating suppuration of the lacrimal gland. Incision and drainage of the lacrimal gland abscess led to a complete resolution of the pre-septal cellulitis. Suppuration of the lacrimal gland is, as far as we are aware, a previously unreported complication of rhinosinusitis. Its presence could be borne in mind when evaluating computerised tomography scans of patients presenting with orbital complications of sinusitis, particularly in the immunocompromised.
Mirza
S
S
University Department of Otorhinolaryngology, Head & Neck Surgery, Manchester Royal Infirmary, Manchester, UK. showkatmirza@hotmail.com
Lobo
C J
CJ
Counter
P
P
Farrington
W T
WT
D000038:Abscess / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D000368:Aged; D004322:Drainage; D005260:Female; D006801:Humans; D007765:Lacrimal Apparatus / Q000000981:diagnostic imaging / Q000601:surgery*; D012220:Rhinitis / Q000150:complications* / Q000000981:diagnostic imaging; D012852:Sinusitis / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed