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Herpes Simplex Virus Dacryoadenitis in an Immunocompromised Patient
Arch Ophthalmol. 2003;121:911-913.
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Infections of the lacrimal gland are uncommon and can be divided into 2 major classes: acute suppurative dacryoadenitis and chronic dacryoadenitis. Acute suppurative dacryoadenitis is usually bacterial in origin, commonly caused by Staphylococcus,1 with Streptococcus, Chlamydia trachomatis, and Neisseria gonorrhoeae as other possible causes. Chronic dacryoadenitis is more slowly progressive and often caused by viruses, particularly the mumps virus. Other reported causes of dacryoadenitis include Epstein-Barr virus,2-3 pneumococci, diphtheria, syphilis, actinomycosis, histoplasmosis, trachoma, tuberculosis, typhoid, brucellosis, mononucleosis, measles, cytomegalovirus, coxsackievirus, echoviruses, and varicella-zoster virus.4 We describe an unusual case of an immunocompromised patient with dacryoadenitis caused by the herpes simplex virus (HSV).
Report of a Case
A 29-year-old man developed acute right upper eyelid tenderness, ptosis, and edema associated with an enlarged and indurated lacrimal gland. Marked conjunctival chemosis was present and ocular motility was mildly limited (Figure 1). The right preauricular node was both tender and palpable. The . . . [Full Text of this Article]
Comment
Corresponding author: William J. Foster, Jr, MD, PhD, Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, Campus Box 8096, 660 S Euclid Ave, St Louis, MO 63110-1093 (address beginning July 1, 2003: Jules Stein Eye Institute, 100 Stein Plaza, UCLA, Los Angeles, CA 90095).
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