Canaliculitis due to Gemella Haemolysans and Porphyromonas Asaccarolytica

Amaç: Gemella haemolysans ve Porphyromonas asaccarolytica'nın neden olduğu bir kanalikülit olgusunu sunmaktır. Yöntemler: Kanalikülit tanısı konulduktan sonra yapılan kanalikülotomi ve kanalikül küretajından elde edilen sarımsı- yeşilimsi materyal aerobik, anaerobik bakteri ve mantar incelemesi için mikrobiyoloji labaratuarına gönderildi. Sistemik ve topikal antimikrobiyal tedavi başlandı. Bulgular: Bakteriyolojik boyamada polimorfonükleer lökositler ve gram pozitif kok izlendi. Fakultatif anaerop Bakteriyolojik kültürlere göre Gemella haemolysans ve anaerop Porphyromonas asaccarolytica olarak tiplendirildi. Mantarlar için rutin kültürler negatifti. 2 yıllık takipte tekrarlama izlenmedi. Sonuç: Bildiğimiz kadarıyla, bu çalışma Gemella haemolysans ve Porphyromonas asaccarolytica 'nın neden olduğu bildirilmiş ilk vakadır, aynı zamanda herhangi bir cerrahi ve/veya travma geçirmeden ortaya çıkmış bir oküler enfeksiyon olması da dikkat çekicidir.

Gemella Haemolysans ve Porphyromonas Asaccarolytic'ın Neden Olduğu Kanalikülit

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.

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