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Presumed adenoviral dacryoadenitis with extraocular movement restriction: a case report

Muhannad A. Alnahdi, Ahmed A. Aldubaikhi, Abdulrahman Alsaedy, Sameera M Aljohani, Mohammed Alrajeh, Lujain Albadr.

Acute dacryoadenitis usually presents with erythema, tenderness, discharge and enlargement of the lacrimal gland. Viral dacryoadenitis usually exhibits chronicity rather than acute presentation. However, we describe a unique case of acute dacryoadenitis in a 25-year-old immune competent male that presented with history of viral prodrome, painless upper lid swelling and extra-ocular movement restriction. His illness failed to improve with antimicrobials, but completely resolved after corticosteroids. Acute viral dacryoadenitis might be initially misdiagnosed as preorbital cellulitis as seen in this case; thus, this unique entity should be kept in mind to avoid treatment delay and prevent worsening.