ABSTRACT
Sporotrichosis associated with exposure to domestic cats is hyperendemic in Rio de Janeiro, Brazil. A review of the clinical records at our institute revealed four patients with clinical signs of dacryocystitis and a positive conjunctival culture for Sporothrix who were diagnosed with Sporothrix dacryocystitis. Three patients were children (< 13 years of age) and one patient was an adult. Two patients reported contact with a cat that had sporotrichosis. Dacryocystitis was associated with nodular, ulcerated lesions on the face of one patient and with granulomatous conjunctivitis in two patients; however, this condition manifested as an isolated disease in another patient. All of the patients were cured of the fungal infections, but three patients had chronic dacryocystitis and one patient developed a cutaneous fistula. Sporotrichosis is usually a benign disease, but may cause severe complications when the eye and the adnexa are affected. Physicians, especially ophthalmologists in endemic areas, should be aware of the ophthalmological manifestations and complications of sporotrichosis.
Subject(s)
Humans , Animals , Male , Female , Infant , Child, Preschool , Adolescent , Adult , Cats , Sporotrichosis/complications , Sporothrix/isolation & purification , Dacryocystitis/etiology , Sporotrichosis/veterinary , Cat Diseases/microbiology , Zoonoses , Chronic Disease , Conjunctivitis/complicationsABSTRACT
Sporotrichosis associated with exposure to domestic cats is hyperendemic in Rio de Janeiro, Brazil. A review of the clinical records at our institute revealed four patients with clinical signs of dacryocystitis and a positive conjunctival culture for Sporothrix who were diagnosed with Sporothrix dacryocystitis. Three patients were children (< 13 years of age) and one patient was an adult. Two patients reported contact with a cat that had sporotrichosis. Dacryocystitis was associated with nodular, ulcerated lesions on the face of one patient and with granulomatous conjunctivitis in two patients; however, this condition manifested as an isolated disease in another patient. All of the patients were cured of the fungal infections, but three patients had chronic dacryocystitis and one patient developed a cutaneous fistula. Sporotrichosis is usually a benign disease, but may cause severe complications when the eye and the adnexa are affected. Physicians, especially ophthalmologists in endemic areas, should be aware of the ophthalmological manifestations and complications of sporotrichosis.
Subject(s)
Sporotrichosis/veterinary , Sporothrix/isolation & purification , Dacryocystitis/ethnology , Conjunctivitis/complicationsABSTRACT
OBJETIVO: Caracterizar os achados órbito-palpebrais na neurofibromatose tipo 1 e relatar a abordagem cirúrgica realizada. MÉTODOS: Foram estudados retrospectivamente os pacientes portadores de NF1 com envolvimento órbito-palpebral atendidos no Ambulatório de Cirurgia Plástica Ocular do Departamento de Oftalmologia da Universidade Federal Fluminense e 38ª Enfermaria da Santa Casa de Misericórdia do Rio de Janeiro. RESULTADOS: Dos 16 pacientes estudados, 12 apresentavam neurofibromas órbito-palpebrais, 3 apresentavam glioma do nervo óptico e 3 algum tipo de displasia óssea levando à exoftalmia ou enoftalmia. Dez pacientes foram submetidos a algum tipo de cirurgia plástica reconstrutora. CONCLUSAO: Os achados clínicos encontrados estão de acordo com o descrito na literatura, tratando-se de doença com expressividade variável. Geralmente os pacientes necessitam ser submetidos a múltiplas cirurgias.
Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Middle Aged , Orbital Diseases/etiology , Eyelid Diseases/etiology , Neurofibromatosis 1 , Retrospective StudiesABSTRACT
Os autores descrevem um caso raro de histiocitoma fibroso acometendo o saco lacrimal. A paciente apresentava quadro clínico que simulava dacriocistite sugestiva de obstrução alta das vias lacrimais. A completa remoção cirurgica do tumor e posterior dacriocistorrinostomia foram fundamentais no diagnóstico e controle da doença.