Unilateral Acute Dacryocystitis Associated with Oculoglandular Tularemia: A Case Report

Abstract

Oculoglandular tularemia is not only suspected in cases who complain of fever, cervical lymphadenopathy and purulent conjunctivitis, it should also be suspected in cases who are admitted to the hospital with acute dacryocystitis, which is a rare component of oculoglandular syndrome.

Assessment of Potential Long Term Health Effects on Army Human Test Subjects of Relevant Biological and Chemical Agents, Drugs, Medications and Substances

“…28 Interestingly, poor case outcome for EEE was correlated with the length of the prodromal illness phase, with those patients with the shortest prodrome having the worst long-term followup symptoms. This could be because of variation in neuroinvasiveness, fitness, or virulence of different strains of virus, 29 because of host factor variability, 30 or exposure to substances that damage the blood-brain barrier and enhance neuroinvasiveness. 31 In addition to long-term health effects resulting from encephalitis or encephalomyelitis, there are case reports that include sepsis and myocarditis in addition to neurological symptoms.…”

Treatment of Tularemia during pregnancy

“…Although tularemia in pregnancy has recently been increasingly reported [2][3][4][5], the number of pregnant women among the 393 patients with tularemia reported by Mengeloglu et al was not indicated. Unfortunately, even though it is vital for the pregnant woman and the fetus to receive the optimal medical treatment, there is not enough reported data on this subject.…”

“…However, the dacryocystitis was drained surgically through an incision and a ciprofloxacin-impregnated sponge was placed in the wound tissue daily over the first week. She was also treated with oral amoxicillin/clavulanic acid [5]. Both patients recovered without any complication.…”

“…Unfortunately, even though it is vital for the pregnant woman and the fetus to receive the optimal medical treatment, there is not enough reported data on this subject. We have recently published two cases on tularemia during pregnancy [4,5]. The first patient presented with a large abscess on the cervical area and pseudoptosis [4] and the second patient had an acute dacryocystitis with a large abscess [5].…”

“…We have recently published two cases on tularemia during pregnancy [4,5]. The first patient presented with a large abscess on the cervical area and pseudoptosis [4] and the second patient had an acute dacryocystitis with a large abscess [5]. They lived in central Anatolia, which is an endemic area for tularemia.…”