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唇乳突线虫病导致眼球、耳朵和脑膜严重受累。

Lagochilascariasis leading to severe involvement of ocular globes, ears and meninges.

作者信息

Aquino Renata T R, Magliari Maria E R, Vital Filho José, Silva Maria A L G, Lima Carlos A da Conceição, Rocha Antonio J, Silva Carlos J, Rewin Jonathan A, Nahas Tatiana R, Chieffi Pedro Paulo

机构信息

Faculdade de Ciências Médicas, Santa Casa de São Paulo, São Paulo, SP, Brasil.

出版信息

Rev Inst Med Trop Sao Paulo. 2008 Nov-Dec;50(6):355-8. doi: 10.1590/s0036-46652008000600009.

Abstract

A case report of a 31 year-old woman from Paraíba State (North-Eastern Brazil) that presented severe involvement of ocular globes, ears and meninges. Diagnosis was established after enucleation of her left eye, when adult worms were seen in the midst of a granulomatous inflammatory process. Her response to the initial treatment with levamisole and cambendazole was good, but there was a relapse after the fifth month of treatment even with maintenance doses of both medications. She later received ivermectin and albendazol and responded well.

摘要

一名来自巴西东北部帕拉伊巴州的31岁女性病例报告,该患者出现眼球、耳朵和脑膜的严重病变。在摘除左眼后确诊,当时在肉芽肿性炎症过程中发现了成虫。她对左旋咪唑和坎苯达唑的初始治疗反应良好,但在治疗五个月后复发,即便两种药物都使用了维持剂量。她后来接受了伊维菌素和阿苯达唑治疗,反应良好。

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