title: Dacryocystitis As the Initial Presentation of Invasive Fungal Sinusitis in Immunocompromised Children.
abstract: Sino-orbital fungal infection is a rare, but life-threatening disease seen mainly in immunocompromised patients. While initial clinical impression may vary, dacryocystitis has rarely been described as the initial presenting sign. The authors present 2 pediatric cases of dacryocystitis as the initial sign of invasive fungal sinusitis. To their knowledge, this presenting sign has not been previously reported in the pediatric population. Management strategies and outcomes are discussed.
authors.affiliation: *Oculofacial Plastic and Orbital Surgery, Department of Ophthalmology, University of Colorado Hospital, Aurora, Colorado; †Oculofacial Plastic and Orbital Surgery, Department of Ophthalmology, University of Rochester, Rochester, New York; ‡Illinois Ear, Nose and Throat Specialists, Niles, Illinois; §Department of Otolaryngology, University of Colorado Hospital, Aurora, Colorado; and ‖Texas Oculoplastic Consultants, Austin, Texas, U.S.A.
authors.forename: Brett W
authors.initials: BW
authors.lastname: Davies
authors.forename: Mithra O
authors.initials: MO
authors.lastname: Gonzalez
authors.forename: Ryan C
authors.initials: RC
authors.lastname: Vaughn
authors.forename: Gregory C
authors.initials: GC
authors.lastname: Allen
authors.forename: Vikram D
authors.initials: VD
authors.lastname: Durairaj
mesh_terms: D001228:Aspergillosis / Q000175:diagnosis* / Q000382:microbiology; D001234:Aspergillus niger / Q000302:isolation & purification*; D001706:Biopsy; D002648:Child; D003607:Dacryocystitis / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D015821:Eye Infections, Fungal / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D012852:Sinusitis / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D014057:Tomography, X-Ray Computed