Pediatric acute dacryocystitis due to Eikenella corrodens: A case report

J Infect Chemother. 2020 May;26(5):510-512. doi: 10.1016/j.jiac.2019.12.014. Epub 2020 Jan 23.

Abstract

Eikenella corrodens is a facultatively anaerobic gram-negative rod bacterium in the oropharynx and respiratory tract. It is a member of HACEK (Haemophilus spp., Aggregatibacter spp., Cardiobacterium hominis, E. corrodens, and Kingella kingae) group commonly associated with endocarditis and craniofacial infections. It is usually susceptible to penicillin, second and third-generation cephalosporins, and carbapenem, but has variable susceptibility to first-generation cephalosporin. We herein provide a description of the first case of pediatric acute dacryocystitis caused by E. corrodens. The patient did not respond to oral cephalexin and required surgical drainage followed by intravenous cefotaxime. Also provided is a brief review of the current literature.

Keywords: Dacryocystitis; Eikenella corrodens; HACEK.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Acute Disease
  • Aggregatibacter
  • Anti-Bacterial Agents / administration & dosage
  • Cardiobacterium
  • Cefotaxime / administration & dosage
  • Cephalexin / administration & dosage
  • Child, Preschool
  • Dacryocystitis / diagnosis*
  • Dacryocystitis / drug therapy
  • Dacryocystitis / microbiology*
  • Drug Administration Routes
  • Eikenella corrodens / isolation & purification
  • Eikenella corrodens / pathogenicity*
  • Female
  • Gram-Negative Bacterial Infections / diagnosis
  • Gram-Negative Bacterial Infections / drug therapy
  • Gram-Negative Bacterial Infections / microbiology*
  • Haemophilus
  • Humans
  • Kingella
  • Microbial Sensitivity Tests
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • Cefotaxime
  • Cephalexin