Canaliculitis due to Gemella Haemolysans and Porphyromonas Asaccarolytica
Abstract
Objective: We reported a canaliculitis case due to Gemella haemolysans and Porphyromonas asaccarolytica.Methods: After the diagnosis of canaliculitis, the unusual finding of yellowish-greenish material supplied from canalicular curettage and canaliculotomy was sent to microbiology laboratory for the presence of aerobic, anaerobic bacteria and fungi. Systemic and topical antimicrobial treatment was administered.
Results: Bacteriological stains revealed polymorphonuclear leukocytes and gram-positive cocci. Facultative anaerobe Gemella haemolysans and anaerobe Porphyromonas asaccarolytica were identified according to bacteriological cultures. Routine cultures were negative for fungi. Recurrence was not observed at two years follow-up.
Conclusion: To our knowledge, this is the first reported case of canaliculitis due to both Gemella haemolysans and Porphyromonas asaccarolytica and is also remarkable ocular infection case occurred after any surgery and/or trauma.
References
Gogandy M, Al-Sheikh O, Chaudhry I. Clinical features and bacteriology of lacrimal canaliculitis in patients presenting to a tertiary eye care center in the Middle East. Saudi J Ophthalmol 2014;28:31-5.
Bharathi MJ, Ramakrishnan R, Shivakumar C, Meenakshi R, Lionalraj D. Etiology and antibacterial susceptibility pattern of community-acquired bacterial ocular infections in a tertiary eye care hospital in south India. Indian J Ophthalmol 2010; 58:497-507.
Lin SC, Kao SC, Tsai CC, Cheng CY, Kau HC, Hsu WM et al. Clinical characteristics and factors associated the outcome of lacrimal canaliculitis. Acta Ophthalmol 2011; 89: 759–63.
Liyanage SE, Wearne M. Lacrimal canaliculitis as a cause of recurrent conjunctivitis. Optometry 2009; 80:479-80.
Bharathi MJ, Ramakrishnan R, Shivakumar C, Meenakshi R, Lionalraj D. Etiology and antibacterial susceptibility pattern of community-acquired bacterial ocular infections in a tertiary eye care hospital in south India. Indian J Ophthalmol. 2010 58:497-507.
Kaliki S, Ali MJ, Hanoavar SG, Chandrasekhar G, Naik MN. Primary canaliculitis:clinical features, microbiological profile, and management outcome. Ophtal Plast Reconst Surg 2012; 28:335-60.
Ritterband D, Shah M, Kresloff M, Intal M, Shabto U, Seedor J. Gemella haemolysans keratitis and consecutive endophthalmitis. Am J Ophthalmol 2002; 133:268-9.
Kailasanathan A, Anderson DF. Infectious crystalline keratopathy caused by Gemella haemolysans. Cornea 2007; 26:643–4.
Nalamada S, Jalali S, Reddy AK.Acute postoperative endophthalmitis by Gemella haemolysans Indian J Ophthalmol: 2010;58:252-3.
Rudolph T, Welinder-Olsson C, Lind-Brandberg L, Stenevi U. 16S rDNA PCR analysis of infectious keratitis: a case series. Acta Ophthalmol Scand 2004; 82:463-7.
