Juri Jelena, Kuzman Tomislav, Stiglmayer Neda, Tojagić Miljenka
Department of Ophthalmology, Medical School, University of Zagreb, Clinical Hospital Center Zagreb, Zagreb, Croatia.
Ophthalmologica. 2007;221(3):204-6. doi: 10.1159/000099303.
A patient with a diagnosis of chronic and idiopathic unilateral dacryoadenitis was submitted to our clinic for diagnostic reasons from a regional hospital. Within a period of 1 year, this was the second onset of a swelling in the region of the lacrimal gland which - unlike the first time - showed resistance to antibiotic treatment. The patient's general and ophthalmic condition was good, and his only complaint was of cosmetic nature because of the disfiguring swelling in the lateral part of the left upper eyelid. Basic laboratory findings showed no abnormalities and radiographic imaging showed enlargement of the left lacrimal gland without bony destruction. Guided by epidemiological data for noninfectious dacryoadenitis we decided to perform excisional biopsy of the left lacrimal gland. To our surprise, the pathologist verified the presence of a worm of the genus Dirofilaria, which is, to the best of our knowledge, the second reported case of lacrimal gland dirofilariasis in the literature and the second reported case of such a disease in Croatia.
一名被诊断为慢性特发性单侧泪腺炎的患者因诊断原因从一家地区医院转诊至我们诊所。在1年的时间里，这是泪腺区域第二次出现肿胀，与第一次不同的是，此次对抗生素治疗有抵抗性。患者的全身和眼部状况良好，他唯一的抱怨是由于左上眼睑外侧的毁容性肿胀而具有美容方面的问题。基本实验室检查结果未显示异常，影像学检查显示左泪腺肿大但无骨质破坏。根据非感染性泪腺炎的流行病学数据，我们决定对左泪腺进行切除活检。令我们惊讶的是，病理学家证实存在恶丝虫属的蠕虫，据我们所知，这是文献中报道的第二例泪腺恶丝虫病病例，也是克罗地亚报道的第二例此类疾病病例。
