The cause of Actinomyces canalictulis – a case study
More details
Hide details
Chair and Department of Medical Microbiology, Medical University, Lublin, Poland
Department of General Ophthalmology, Medical University, Lublin, Poland
Department of Diagnostics and Microsurgery of Glaucoma, Medical University, Lublin, Poland
Mossakowski Medical Research Centre, Polish Academy of Sciences, Warsaw, Poland
Corresponding author
Alina Olender   

Chair and Department of Medical Microbiology, Medical University, Lublin, Poland
Ann Agric Environ Med. 2013;20(4):742-744
Actinomycosis of the lacrimal ducts is a rare chronic infection, caused by bacteria of the genus Actinomyces, usually A. israelii. The analyzed case of a 72-year-old man draws attention to the chronic nature of the infection and the need to thoroughly investigate the microbiological material sampled from the lacrimal ducts. Good effects of treatment resulted from oral use of doxycycline and local application of erythromycin. A precise removal of actinomycotic deposits and the applied antibiotic therapy resulted in a complete recovery without recurrences. The analyzed case confirms incidents in Poland of actinomycosis of the lacrimal ducts, and draws attention to this group of microorganisms that may cause infections in ophthalmology. This confirms the need for accurate diagnosis of microbial infections in the lacrimal ducts towards anaerobic bacteria. This would contribute to greater detection of a rare form of infection.
Abid M, Ben Amar M, Damak Z, Feriani N, Guirat A, Khebir A, et al. Intrauterine device and pelvic tumor: two case reports of pelvic actinomycosis with pseudotumor from tropical zones. Med Trop (Mars). 2010; 70(3): 285–287.
Kanellopoulou T, Alexopoulou A, Tiniakos D, Koskinas J, Archimandritis AJ. Primary hepatic actinomycosis mimicking metastatic liver tumor. J Clin Gastroenterol. 2010; 44(6): 458–459.
Ong C, Barnes S, Senanayake S. Actinomyces turicensis infection mimicking ovarian tumour. Singapore Med J. 2012; 53(1): e9-e11.
Briscoe D, Edelstein E, Zacharopoulos I, Keness Y, Kilman A, Zur F, et al. Actinomyces canaliculitis: diagnosis of a masquerading disease. Graefes Arch Clin Exp Ophthalmol. 2004; 242(8): 682–686.
Demant E, Hurwitz JJ. Canaliculitis: review of 12 cases. Can J Ophthalmol 1980; 15(2): 73–75.
Vagarali MA, Karadesai SG, Dandur MS. Lacrimal canaliculitis due to actinomyces: a rare entity. Indian J Pathol Microbiol. 2011; 54: 661–663.
Karyński M, Łętowska I, Grzesiowski P. Soft tissue infection caused by Streptococcus dysgalactiae subsp. equisimilis possessing group Aantigen: a case report and review of the literature. Postep Derm Alergol. 2012; 29(4): 330–336.
Sarkonen N, Könönen E, Summanen P, Könönen M, Jousimies-Somer H. Phenotypic identification of Actinomyces and related species isolated from human sources. J Clin Microbiol. 2001; 39(11): 3955–3961.
Vujancević S, Meyer-Rüsenberg HW. Therapy for actinomycosis in the lacrimal pathway. Klin Monbl Augenheilkd. 2010; 227(7): 568–574.
Baldursdóttir E, Sigurdsson H, Jónasson L, Gottfredsson M. Actinomycotic canaliculitis: resolution following surgery and short topical antibiotic treatment. Acta Ophthalmol. 2010; 88(3): 367–370.
Royer J, Adenis JP, Bernard JA, Métaireau JP, Rény A. L’appareil lacrymal. Paris: Masson, 1982: 268–269.
Liyanage SE, Wearne M. Lacrimal canaliculitis as a cause of recurrent conjunctivitis. Optometry. 2009; 80(9): 479–480.
Marcio F, Damasceno RW, Cazorla Fda P, Von Faber Bison SH, Vital Filho J. Chronic suppurative canaliculitis – clinical and therapeutic aspects: report of 3 cases. Arq Bras Oftalmol. 2011; 74(6): 441–443.
Wong VK, Turmezei TD, Weston VC. Actinomycosis. BMJ. 2011; 11: 343:d6099.
Kolditz M, Bickhardt J, Matthiessen W, Holotiuk O, Höffken G, Koschel D. Medical management of pulmonary actinomycosis: data from 49 consecutive cases. J Antimicrob Chemother. 2009; 63(4): 839–841.
Carneiro RC, Macedo EM, Oliveira PP. Canaliculitis: case report and management. Arq Bras Oftalmol. 2008; 71(1): 107–109.
Yuksel D, Hazirolan D, Sungur G, Duman S. Actinomyces canaliculitis and its surgical treatment. Int Ophthalmol. 2012; 32(2): 183–186.
Pande M, Mathew R, Ramprakash M, Kalani M. Actinomycotic lacrimal canaliculitis. Indian J Pathol Microbiol. 2010; 53: 864–865.
Lin SC, Kao SC, Tsai CC, Cheng CY, Kau HC, Hsu WM, et al. Clinical characteristics and factors associated the outcome of lacrimal canaliculitis. Acta Ophthalmol. 2011; 89(8): 759–763.
Journals System - logo
Scroll to top