title: Nocardia canaliculitis presenting as pouted punctum.
abstract: A rare case of culture-positive Nocardia canaliculitis is reported that presented with a history of chronic conjunctivitis and epiphora for the last 1.4 years, refractory to multiple treatment courses. Chronic conjunctivitis and a pouted punctum were observed in the right lower eyelid. Probing and sac syringing was performed. The "Sulfur granules" were expressed and subjected to various microbiological analyses. Nocardia sp was grown on culture. The patient was successfully managed with surgical removal of concretions and topical/systemic antibiotics.
authors.affiliation: Department of Ophthalmology, Combined Military Hospital, Gujranwala Cantt. dr_salman_asghar@yahoo.com
authors.forename: Salman
authors.initials: S
authors.lastname: Asghar
authors.forename: Abid
authors.initials: A
authors.lastname: Mahmood
authors.forename: Mehreen Ali
authors.initials: MA
authors.lastname: Khan
mesh_terms: D002908:Chronic Disease; D003607:Dacryocystitis / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D009615:Nocardia / Q000302:isolation & purification*; D009617:Nocardia Infections / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery