Rehák M, Kolárová L, Kohnová I, Rehák J, Mohlerová S, Fric E, Chrapek O
Department of Ophthalmology Faculty Hospital in Olomouc, Czech Republic.
Klin Mikrobiol Infekc Lek. 2006 Aug;12(4):161-4, 155.
The authors report a case of 14-year-old boy presented to the Ophthalmologic Department of University Hospital in Olomouc with the diagnosis af acute anterior uveitis. A living parasite has been detected in the anterior chamber in a slit lamp examination. The vitreous and retina remained uninvolved. The acute iridocyclitis associated with parasitic infection is a very rare cause of anterior uveitis in Central Europe. The patient underwent surgical removal of the parasite via paracentesis. The inflammation resolved under the treatment with atropine and dexamethasone drops within a few days. Histopathological examination revealed the parasite as a young larval stage of tapeworm from family Pseudophyllidea (sparganum). Based on the analysis of development cycles of different types of tapeworms and according the literature data on tapeworms found in the Czech Republic genus Spirometra seemed to be the most plausible cause of the patient's disease. As the most probable source of viable parasites authors suspect swallowed water containing tiny infected crustaceans in the dam near the town Olomouc in Moravia.
作者报告了一例14岁男孩，因急性前葡萄膜炎就诊于奥洛穆茨大学医院眼科。裂隙灯检查在前房中发现了活寄生虫。玻璃体和视网膜未受累。在中欧，与寄生虫感染相关的急性虹膜睫状体炎是前葡萄膜炎非常罕见的病因。患者通过前房穿刺术接受了寄生虫手术摘除。在使用阿托品和地塞米松滴眼液治疗几天后炎症消退。组织病理学检查显示该寄生虫为假叶目绦虫的幼虫阶段（裂头蚴）。基于对不同类型绦虫发育周期的分析，并根据捷克共和国发现的绦虫的文献数据，裂头绦虫属似乎是该患者疾病最合理的病因。作者怀疑最可能的活寄生虫来源是患者在摩拉维亚奥洛穆茨镇附近水坝中吞下了含有微小受感染甲壳类动物的水。
