title: Clinical Recognition and Management of an Atypical Dacryoadenitis.
abstract: Dacryoadenitis, a condition defined as inflammation of the lacrimal gland, has many etiologies; rarely is it associated with a lacrimal gland abscess. In this article, a 7-year-old African American boy was diagnosed with a lacrimal gland abscess secondary to oxacillin-resistant Staphylococcus aureus (ORSA). The incidence of conditions arising from ORSA, a term used interchangeably with methicillin-resistant S aureus (MRSA), is reportedly on the rise in our population over the past decade. Recognition of atypical pathogens, initiation of timely appropriate-spectrum pharmaceuticals, and conservative follow-up are imperative in treating and preventing potentially vision-threatening sequelae of dacryoadenitis.
authors.affiliation: Rochester Ophthalmological Group, Rochester, NY, USA.
authors.forename: Amar
authors.initials: A
authors.lastname: Sayani
authors.affiliation: Children's Hospital Colorado, Aurora, CO, USA daniel.smith2@childrenscolorado.org.
authors.forename: Daniel E
authors.initials: DE
authors.lastname: Smith
mesh_terms: D000038:Abscess / Q000150:complications; D002648:Child; D003607:Dacryocystitis / Q000209:etiology* / Q000601:surgery*; D024881:Drug Resistance, Bacterial; D006801:Humans; D008297:Male; D010068:Oxacillin / Q000494:pharmacology; D013203:Staphylococcal Infections / Q000150:complications* / Q000601:surgery; D013211:Staphylococcus aureus / Q000187:drug effects
chemical_list: D010068:Oxacillin
keywords: dacryoadenitis; methicillin-resistant Staphylococcus aureus; orbital abscess; orbital cellulitis; oxacillin-resistant Staphylococcus aureus; subperiosteal abscess