Actinomyces canaliculitis: diagnosis of a masquerading disease

Granulome à corps étranger suite à une migration d’un tube de lacorhinostomie, associé à une actinomycose du sac lacrymal

INTRODUCTION

Lacorhinostomy is a surgical procedure that establishes a permanent communication between the caruncular region and the nasal fossa using a fixed tube. The main complications involve the biotolerance of this tube.

OBSERVATION

Fifteen years after lacrimal surgery, a patient presented with repeated canthal inflammation associated with epistaxis on the same side. The anterior rhinoscopy showed an occlusion of the inferior meatus by a mucous tumor, bleeding to the contact. A lacrimal sac scan disclosed a local tumor without bone erosion. With an endonasal dacryocystorhinostomy, a lacorhinostomy tube was found hidden in the canthal region associated with actinomycosis of the lacrimal sac.

DISCUSSION

Lacrimal actinomycosis is mostly primitive, although actinomycosis in other locations may be associated with the presence of a foreign body. In that case, the association is probably a coincidence.

CONCLUSION

When a tumor develops after lacrimal surgery, a foreign body reaction must be suspected.

Pyogenic Granuloma Associated With Chronic Actinomyces Canaliculitis

A case of chronic Actinomyces canaliculitis with associated pyogenic granuloma formation and bloody tears is described. Although Actinomyces is a well-known cause of canaliculitis, the authors are not aware that it has been reported in association with pyogenic granulomas.