Campylobacter concisus as a pathogen of primary canaliculitis: a case report

ABSTRACT

A 73-year-old woman presented to our hospital with a 1-year history of epiphora associated with discharge on the left eye. On the first examination, there was a swelling in the medial part of the left lower eyelid associated with a cystic change along the lacrimal canaliculus. On digital compression, there was an expression of a yellow mucopurulent discharge from the left-lower punctum. A culture test of the discharge showed Campylobacter concisus (1+), Gemella morbillorum (1+), Fusobacterium nucleatum (1+), and Porphyromonas gingivalis (2+). Complete removal of the canaliculoliths was done with a curette. Dacryoendoscopic examination showed a substantially dilated horizontal canaliculus accompanied with granulation and fibrous tissues on the left-lower side. An ofloxacin ointment-coated bicanalicular tube was inserted. Also, an oral antibiotic was administered for 14 days after surgery. At a 3-month follow-up, the patient did not have any symptoms associated with canaliculitis.

KEYWORDS:

• Campylobacter concisus
• canalicular dilatation
• canaliculitis
• canaliculolith
• dacryoendoscopy

Aknowledgements

The authors wish to be thankful to Ms. Tomoko Ohno at Department of Infection Control, Aichi Medical University Hospital for her help to collect the data.

Disclosure statement

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.

Authors’ contributions

All authors qualify for authorship based on contributions to the conception and design (YT), acquisition of data (YT), literature search (YT), and analyses and interpretation of data (all authors). All authors contributed to drafting the article and revising it critically for important intellectual content and final approval of the version to be published.

Statement of ethics

The authors adhered to the tenets of the 1964 Declaration of Helsinki. Written informed consent was obtained from the patient for publication of this case report and any accompanying images. We asked the institutional review board of Aichi Medical University Hospital and confirmed that the ethics approval for this report was not necessary on the basis of the ethical guidelines for medical and health research involving human subjects established by the Japanese Ministry of Education, Culture, Sports, Science, and Technology and the Ministry of Health, Labour, and Welfare.