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前房内的恶丝虫:一种罕见情况。

Dirofilaria in the anterior chamber: a rare occurrence.

作者信息

Chopra Rupali, Bhatti Sattar M, Mohan Sangeetha, Taneja Neha

机构信息

Department of Ophthalmology, Christian Medical College and Hospital, Ludhiana, Punjab, India.

出版信息

Middle East Afr J Ophthalmol. 2012 Jul-Sep;19(3):349-51. doi: 10.4103/0974-9233.97965.

DOI:10.4103/0974-9233.97965
PMID:22837635
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3401811/
Abstract

Dirofilariasis is a parasitic infection of the carvivores that may present as a zoonotic infestation in humans. Systemic involvement in man is subcutaneous, pulmonary, or ocular. We report a rare occurrence of ocular dirofilariasis in a 25-year-old male patient who presented with pain and redness in the eye. A live, white, coiled, and highly motile worm was present in the anterior chamber. The worm, however, could not be detected in the anterior chamber, posterior segment, or the angle of the anterior chamber when the patient was taken to the operating room for surgical removal of the worm. The patient was made to lie prone till the worm reappeared in the anterior chamber and was removed by paracentesis. The worm was identified as Dirofilaria repens on the basis of microscopic and histopathological examination.

摘要

犬恶丝虫病是食肉动物的一种寄生虫感染,在人类中可能表现为人畜共患感染。人类的全身感染部位为皮下、肺部或眼部。我们报告了一例罕见的眼部犬恶丝虫病病例,患者为一名25岁男性,表现为眼部疼痛和发红。在前房发现一条活的、白色的、盘绕且活动剧烈的蠕虫。然而,当患者被送往手术室进行蠕虫手术摘除时,在前房、后节或前房角均未检测到该蠕虫。让患者俯卧,直到蠕虫再次出现在前房,然后通过穿刺术将其摘除。根据显微镜检查和组织病理学检查,该蠕虫被鉴定为匐行恶丝虫。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12ab/3401811/f46996110091/MEAJO-19-349-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12ab/3401811/0fa0f760b92e/MEAJO-19-349-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12ab/3401811/f46996110091/MEAJO-19-349-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12ab/3401811/0fa0f760b92e/MEAJO-19-349-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12ab/3401811/f46996110091/MEAJO-19-349-g002.jpg

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本文引用的文献

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Human intraocular filariasis caused by Dirofilaria sp. nematode, Brazil.巴西引起人眼内寄生虫病的线虫是由旋尾丝虫属引起的。
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Zoonotic helminths affecting the human eye.人眼感染的动物源性寄生虫。
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Images in clinical medicine: Subconjunctival Dirofilaria repens.临床医学影像:结膜下匐行恶丝虫
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Human Dirofilariasis Caused by Dirofilaria repens in Sri Lanka from 1962 to 2020.斯里兰卡 1962 年至 2020 年由犬恶丝虫引起的人犬恶丝虫病。
Acta Parasitol. 2022 Jun;67(2):628-639. doi: 10.1007/s11686-022-00543-3. Epub 2022 Apr 5.
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Conjunctival dirofilariasis presenting as a painless, cystic nodule: An unusual manifestation.表现为无痛性囊性结节的结膜恶丝虫病:一种不寻常的表现。
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