Yenidoğanda preseptal selülit ve lakrimal abse gelişen akut dakriyosistit olgusu

Akut dakriyosistit gözyaşı kesesinin iltihabıdır. Yenidoğan döneminde sıklıkla altta yatan nazolakrimal kanal tıkanıklığına bağlı gelişebilmektedir. İç kantal bölgede şişlik, kızarıklık ve hassasiyetle ani başlayan akut dakriyosistit yenidoğan döneminde ciddi bir hastalıktır. Enfeksiyon parenteral antibiyotiklerle etkin bir şekilde tedavi edilmezse preseptal selülit, orbital apse, beyin apsesi ve sepsise ilerleyebilir. Bu hastalar hospitalize edilmeli parenteral antibiyotikler başlanmalı ve olası komplikasyonlar yönünden yakın takip edilmelidir. Altta yatan nazolakrimal kanal tıkanıklığına yönelik gerekli müdahalenin enfeksiyon yatıştıktan sonra yapılması önerilmektedir. Bu yazıda sistemik tedavide gecikildiği için preseptal selülit ve lakrimal kese apsesine ilerlemiş olan bir akut dakriyosistit olgusu sunulmuştur.

A case of neonatal acute dacryocystitis developing preseptal cellulitis and lacrimal abscess

Acute dacryocystitis is an inflammation of the lacrimal sac. The condition often occurs in neonatal period due to the underlying nasolacrimal duct obstruction. Manifesting itself with swelling in the inner canthal region fullness, redness, and sensitivity, acute dacryocystitis is a serious illness in the newborn period. If infection is not treated effectively with parenteral antibiotics, this problem may progress to preseptal cellulitis, orbital abscess, brain abscess or sepsis. These patients should be hospitalised and parenteral antibiotics should be initiated immadiately. These patients should also be closely monitored for possible complications. Necessary intervention for the underlying nasolacrimal duct obstruction is recommended to be carried out after infection has resolved. In this paper, we present a case of acute dacryocystitis which progressed to lacrimal abscess and preseptal cellulitis due to delay in systemic therapy.

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