title: Bilateral self-inflicted infectious dacryoadenitis.
abstract: The aim of this report is to present a case of a patient with bilateral lacrimal gland abscesses in the course of dacryoadenitis. A 45-year-old female patient with a long history of cocaine abuse presented with bilateral bacterial dacryoadenitis and upper lid inflammation with purulent discharge from a palpebral wound of the right upper lid. The diagnosis was confirmed with microbiology culture and an orbital CT scan, which revealed lacrimal gland abscesses. The patient admitted to vigorous eye scratching, which we believe was the mechanism responsible for the process. The infection resolved on targeted antibiotic therapy. This is the first reported case of bilateral infectious dacryoadenitis produced in a self-inflicted mechanism in a cocaine addict.
authors.affiliation: Department of Ophthalmology, Hospital Clinic de Barcelona , Barcelona , Spain.
authors.forename: Marta
authors.initials: M
authors.lastname: Latasiewicz
authors.forename: Meilin
authors.initials: M
authors.lastname: Chang-Sotomayor
authors.forename: Claudia
authors.initials: C
authors.lastname: Alonso-Caldarelli
authors.forename: Fabian
authors.initials: F
authors.lastname: Farias-Plazas
authors.forename: Anna
authors.initials: A
authors.lastname: Leszczynska
authors.forename: Miguel
authors.initials: M
authors.lastname: Gonzalez-Candial
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D000890:Anti-Infective Agents / Q000627:therapeutic use; D019970:Cocaine-Related Disorders / Q000150:complications; D003607:Dacryocystitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D016728:Self-Injurious Behavior / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013212:Staphylococcus epidermidis / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
chemical_list: D000890:Anti-Infective Agents; D015662:Trimethoprim, Sulfamethoxazole Drug Combination
keywords: Bilateral orbital dacryoadenitis; cocaine abuse; lacrimal gland abscess; self-inflicted