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Odontogenic abscess mimicking acute dacryocystitis
  1. Ahmad M Mansour1,2,
  2. Wajiha Kheir-Jurdi1,
  3. Usamah El Hadi3,
  4. Ghassan Awar4
  1. 1 Department of Ophthalmology, American University of Beirut, Beirut, Lebanon
  2. 2 Department of Ophthalmology, Rafic Hariri University Hospital, Beirut, Lebanon
  3. 3 Department of Otolaryngology, American University of Beirut, Beirut, Lebanon
  4. 4 Division of Infectious Diseases, Department of Internal Medicine, American University of Beirut, Beirut, Lebanon
  1. Correspondence to Ahmad M Mansour, ammansourmd{at}


A middle-aged poorly controlled diabetic man developed left-sided orbital and facial swelling several days after extraction of a left upper wisdom tooth. The clinical impression was that of acute dacryocystitis. Opening the skin above the lacrimal sac failed to reveal an inflamed sac establishing the diagnosis of deep facial cellulitis. Complete resolution occurred few weeks after systemic antibiotics and repeated dental drainage of the tooth abscess.

  • Dentistry and oral medicine
  • Ear, nose and throat
  • Infections
  • Drugs: infectious diseases
  • Ophthalmology
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  • Contributors All four authors AMM, WK-J, GA and UEH have contributed towards acquisition of data (each in his different specialty: UEH for surgery and Otolaryngology findings, GA for medical and antibacterial therapy and both AMM and WJK for the ophthalmic therapy), drafting of different sections of the article (each in his own specialty: GA wrote the antibacterial therapies, UEH the sinus CT findings and surgery done on the tooth abscess, AMM and WK-J wrote the case report related to ophthalmology, AMM wrote the discussion and put the references). All four authors helped in revising the whole paper draft, did final approval of the submitted version and agreed to be accountable for the whole content of the article.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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