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 yellowishgreenish 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.

A Case Report of Gemella haemolysans Keratitis After Refractive Surgery

“…There were 2 cases of canaliculitis caused by G. haemolysans . 24 , 25 A total of 3 cases had keratitis similar to this case, including 2 cases of keratitis and 1 case of keratitis complicated with endophthalmitis caused by G. haemolysans . One case of keratitis caused by long-term use of glucocorticoids, which failed to respond to drug treatment and developed into endophthalmitis.…”

“…Previous reports indicated that invasive infections caused by G. haemolysans included infective endocarditis, osteoarthrosis, peritonitis, endophthalmitis, bacteremia, meningitis, and brain abscess. And it was popular among the individuals with immunodeficiency, diabetes, alcohol addiction or bad dentin, [13][14][15][16][17][18] a total of 10 cases of ophthalmic G. haemolysans infection have been reported [19][20][21][22][23][24][25][26][27][28] (Table 1), and 4 of them were endophthalmitis, including 2 cases of endophthalmitis caused by G. haemolysans after phacoemulsification. 19,20 And 1 case was delayed acute endophthalmitis caused by G. haemolysans after trabeculectomy.…”

“…There were 2 cases of canaliculitis caused by G. haemolysans. 24,25 A total of 3 cases had keratitis similar…”