Zibaei Mohammad, Sadjjadi Seyed Mahmoud, Jahadi-Hosseini Seyed Hamidreza
Department of Parasitology and Mycology, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Asian Pac J Trop Biomed. 2014 May;4(Suppl 1):S53-5. doi: 10.12980/APJTB.4.2014C1281.
Toxocariasis is a consequence of human infection by Toxocara larvae. There are symptomatic (visceral, ocular) and asymptomatic course of toxocariasis. The ocular form is very rare. We present a 6-year-old patient who developed an ocular form of toxocariasis caused by Toxocara cati. He demonstrated lesions in the peripheral retina of the right eye. White granuloma was present in the superior peripheral retina. A positive immunological assay for toxocariasis essentially completed the outcomes. On the basis of clinical manifestations and conducted examinations, a diagnosis of ocular form of toxocariasis was established. Albendazole and corticosteroids were applied in treatment. Current results clearly highlight the usefulness of excretory-secretory antigens derived from larvae of Toxocara cati for the fine diagnosis ocular larva migrans caused by Toxocara larvae.
弓蛔虫病是人体感染弓蛔虫幼虫的结果。弓蛔虫病有症状性(内脏型、眼型)和无症状病程。眼型非常罕见。我们报告一名6岁患者,其患上了由猫弓蛔虫引起的眼型弓蛔虫病。他右眼周边视网膜出现病变。周边视网膜上方有白色肉芽肿。弓蛔虫病免疫检测呈阳性基本明确了诊断结果。根据临床表现及所做检查,确诊为眼型弓蛔虫病。治疗采用了阿苯达唑和皮质类固醇。目前的结果清楚地凸显了源自猫弓蛔虫幼虫的排泄-分泌抗原在精准诊断由弓蛔虫幼虫引起的眼幼虫移行症方面的作用。