acute dacryodenitis
Introduction
Introduction to acute lacrimal gland inflammation Acute lacrimal gland inflammation is caused by various infectious diseases, such as mumps, influenza, typhoid fever, pneumonia, acute pharyngitis, etc. It can also be the result of the spread of inflammation around the tissue. Bilateral or unilateral onset, the lacrimal gland of the ankle is more susceptible to the lacrimal gland than the ankle. This disease is rare, because: 1 lacrimal gland is located under the upper edge of the iliac crest, it is not easy to suffer trauma due to its strict protection, and the discharge port of the gland is downward, which is not easy for the conjunctival sac to be infected in the morning. 2 Lymphatic reticulocytes around the lacrimal gland excretion system have a certain resistance to bacterial and viral infections. 3 clinically easy to be confused with facial gland abscess or sputum cellulitis, resulting in more misdiagnosis or missed diagnosis. basic knowledge The proportion of illness: the incidence rate is about 0.02%-0.05% Susceptible people: no special people Mode of infection: non-infectious Complications: edema, dry keratoconjunctivitis
Cause
Cause of acute lacrimal gland inflammation
Influenza (30%):
Influenza (referred to as influenza) is an acute respiratory infection caused by influenza virus, and it is also a disease that is highly contagious and spreads rapidly. It is mainly transmitted by droplets in the air, contact between people or contact with contaminated objects. Typical clinical symptoms are: high fever, generalized pain, significant weakness, and mild respiratory symptoms.
Typhoid fever (30%):
Typhoid fever caused by typhoid bacillus, often called "typhoid fever", Salmonella typhi, also known as Salmonella typhi, is a group of Salmonella D. Gram staining is negative, short rod-shaped, with flagella around, able to move, no spores, no capsule. It grows on normal medium and grows better in medium containing bile.
Pneumonia (20%):
Pneumonia refers to inflammation of the terminal airways, alveoli, and interstitial lungs. It can be caused by pathogenic microorganisms such as bacteria, viruses, fungi, parasites, and physical and chemical factors such as radiation and inhalation foreign bodies. The main clinical symptoms are fever, cough, cough, blood in the sputum, chest pain or difficulty breathing.
Caused by various infectious diseases, such as mumps, influenza, typhoid, pneumonia, acute pharyngitis, etc., can also be the result of the spread of inflammation around the tissue, and there are also unexplained reasons, generally referred to as primary, bilateral Or unilateral onset, the lacrimal gland of the ankle is more susceptible to the lacrimal gland than the ankle.
Common pathogens are: Staphylococcus, Streptococcus pneumoniae, etc. A few cases are caused by viruses.
Prevention
Acute lacrimal gland prevention
Acute lacrimal gland inflammation is mainly caused by various infectious diseases, such as mumps, influenza, typhoid fever, pneumonia, acute pharyngitis, etc., but also the result of the spread of inflammation around the tissue. Because the most important preventive measure is to stay away from the disease-infected people and strengthen physical exercise.
Complication
Acute lacrimal gland complications Complications, edema, dry keratoconjunctivitis
At the same time, there is a high degree of edema of the eyelids. If the upper eyelid is lifted, the eyeballs will be bulged when the eyeballs are turned down. In severe cases, the eyeballs can be displaced downwards. The lymph nodes in the ear are swollen and tender, usually after 1 to 2 weeks. Regression, suppuration can break through to form a temporary fistula, but also into subacute or chronic.
Acute lacrimal gland usually has a good prognosis, but if the purulent person has poor drainage, the infection may spread into the skull, causing cavernous sinus embolization or basal meningitis. After inflammation, the lacrimal gland tissue is atrophied, which can reduce the secretion of lacrimal gland and even cause dry keratoconjunctivitis.
Symptom
Acute lacrimal gland symptoms common symptoms tears eye congestion, itchy eyes, red eyes
The lesion is limited to the ankle gland or the sacral gland, and even inflammation at the same time, local pain and tears, 1/3 of the upper iliac crest, redness and swelling, ptosis (inflammation), accompanied by high edema of the eyelid, if the upper eyelid is raised, the eyeball When turning down, you can see the swell of the lacrimal gland. In severe cases, the eyeball can be displaced downwards. The lymph nodes in the ear are swollen and tender. Usually, the inflammation subsides after 1 to 2 weeks. The purulent can wear a temporary fistula to form a temporary fistula. There is a change to subacute or chronic.
Examine
Acute lacrimal gland examination
The temporal lobe or temporal lobe of the lacrimal gland may be involved separately or simultaneously, manifested as local swelling of the upper part of the palate, pain, S-shaped bending deformation of the upper edema, swollen lymph nodes before the ear, palpation of the palate and mass, tenderness, conjunctiva Congestion, edema, viscous secretions, lifting the upper jaw, visible lacrimal gland enlargement and hyperemia, the course of acute liquid adenitis is usually short, can be relieved by itself, but can also form abscess.
Diagnosis
Diagnosis and differentiation of acute lacrimal gland
diagnosis
Diagnosis can be made based on clinical manifestations.
Differential diagnosis
Lacrimal gland inflammation should be differentiated from meibomian gland infection, purulent abscess or purulent conjunctivitis. The lacrimal gland inflammation should be differentiated from hernia abscess and frontal bone osteomyelitis.
