title: Acute dacryocystitis: another clinical manifestation of sporotrichosis.
abstract: Sporotrichosis associated with exposure to domestic cats is hyperendemic in Rio de Janeiro, Brazil. A review of the clinical records at our institute revealed four patients with clinical signs of dacryocystitis and a positive conjunctival culture for Sporothrix who were diagnosed with Sporothrix dacryocystitis. Three patients were children (< 13 years of age) and one patient was an adult. Two patients reported contact with a cat that had sporotrichosis. Dacryocystitis was associated with nodular, ulcerated lesions on the face of one patient and with granulomatous conjunctivitis in two patients; however, this condition manifested as an isolated disease in another patient. All of the patients were cured of the fungal infections, but three patients had chronic dacryocystitis and one patient developed a cutaneous fistula. Sporotrichosis is usually a benign disease, but may cause severe complications when the eye and the adnexa are affected. Physicians, especially ophthalmologists in endemic areas, should be aware of the ophthalmological manifestations and complications of sporotrichosis.
authors.affiliation: Laboratório de Doenças Infecciosas em Dermatologia.
authors.forename: Dayvison Francis Saraiva
authors.initials: DF
authors.lastname: Freitas
authors.affiliation: Laboratório de Doenças Infecciosas em Oftalmologia.
authors.forename: Iluska Augusta Rocha
authors.initials: IA
authors.lastname: Lima
authors.affiliation: Departamento de Oftalmologia, Hospital da Polícia Militar de Niterói, Niterói, RJ, Brasil.
authors.forename: Carolina Lemos
authors.initials: CL
authors.lastname: Curi
authors.affiliation: Departamento de Oftalmologia, Hospital da Polícia Militar de Niterói, Niterói, RJ, Brasil.
authors.forename: Livia
authors.initials: L
authors.lastname: Jordão
authors.affiliation: Laboratório de Micologia, Instituto de Pesquisa Clínica Evandro Chagas, Fiocruz, Rio de Janeiro, RJ, Brasil.
authors.forename: Rosely Maria
authors.initials: RM
authors.lastname: Zancopé-Oliveira
authors.affiliation: Laboratório de Doenças Infecciosas em Dermatologia.
authors.forename: Antonio Carlos Francesconi do
authors.initials: AC
authors.lastname: Valle
authors.affiliation: Laboratório de Doenças Infecciosas em Dermatologia.
authors.forename: Maria Clara Gutierrez
authors.initials: MC
authors.lastname: Galhardo
authors.affiliation: Laboratório de Doenças Infecciosas em Oftalmologia.
authors.forename: Andre Luiz Land
authors.initials: AL
authors.lastname: Curi
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D002371:Cat Diseases / Q000382:microbiology; D002415:Cats; D002675:Child, Preschool; D002908:Chronic Disease; D003231:Conjunctivitis / Q000150:complications; D003607:Dacryocystitis / Q000209:etiology*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D013175:Sporothrix / Q000302:isolation & purification*; D013174:Sporotrichosis / Q000150:complications* / Q000662:veterinary; D015047:Zoonoses