Multi-viral canaliculitis: case report and review of literature
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To report an atypical case of multiple viruses causing canaliculitis.
Case report of a young female presenting with atypical course of refractory unilateral canaliculitis with complete mid-bicanalicular obstructions. Canalicular scrapings were subjected to immunofluorescence techniques and polymerase chain reactions to identify the viruses.
Investigations revealed a canaliculitis of multi-viral etiology; herpes simplex virus and varicella zoster virus. A canalicular curettage followed by topical acyclovir helped in the resolution of canaliculitis.
An encounter with an atypical canaliculitis with negative bacteriology work up, suboptimal response to routine therapies, and mid-canalicular obstructions should alert the physician to investigate for viral etiology.
KeywordsViral Herpes simplex VZV Canaliculitis
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Conflict of interest
The authors declare that they have no competing interests.
Dr. Ali receives royalties from Springer for his textbook “Principles and Practice of Lacrimal Surgery” and also for his treatise ‘Atlas of Lacrimal Drainage Disorders’. Other authors have none.
The patient/next of kin/guardian has consented to the submission of the case report for submission to the journal.
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