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儿童眼部结膜附着活的麻痹蜱(全环硬蜱):一例报告

Conjunctival Attachment of a Live Paralysis Tick, Ixodes holocyclus, in a Child: A Case Report.

作者信息

Teong Joanne M Y, Adler Paul A, Doggett Stephen L, Daneshvar Dariush, Shields Melissa K

机构信息

Parke Street Specialist Centre, Katoomba, N.S.W., Westmead Hospital, Sydney, N.S.W., Australia.

Department of Medical Entomology, Westmead Hospital, Sydney, N.S.W., Australia.

出版信息

Case Rep Ophthalmol. 2015 Apr 1;6(1):120-6. doi: 10.1159/000381743. eCollection 2015 Jan-Apr.

DOI:10.1159/000381743
PMID:25969685
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4427139/
Abstract

We describe a rare clinical finding of conjunctival tick attachment in a child. A 10-year-old boy presented to the clinic with right-eye itch. He was found to have a live tick firmly attached to his right temporal conjunctiva. The tick was identified as the larval stage of the paralysis tick, Ixodes holocyclus. The tick was removed completely by conjunctival excision. Although various methods of removing a tick have been described in the literature, the goal of treatment is the safe and complete removal of the tick to prevent further transmission of pathogens, allergens, and toxins to the patient.

摘要

我们描述了一名儿童结膜附着蜱虫这一罕见的临床发现。一名10岁男孩因右眼瘙痒到诊所就诊。发现一只活蜱虫紧紧附着在他右侧颞部结膜上。该蜱虫被鉴定为全环硬蜱的幼虫阶段。通过结膜切除术将蜱虫完全移除。尽管文献中描述了多种去除蜱虫的方法,但治疗的目标是安全、彻底地去除蜱虫,以防止病原体、过敏原和毒素进一步传播给患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41bd/4427139/7720ed53e71a/cop-0006-0120-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41bd/4427139/569471a52732/cop-0006-0120-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41bd/4427139/27828e68b860/cop-0006-0120-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41bd/4427139/7720ed53e71a/cop-0006-0120-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41bd/4427139/569471a52732/cop-0006-0120-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41bd/4427139/27828e68b860/cop-0006-0120-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41bd/4427139/7720ed53e71a/cop-0006-0120-g03.jpg

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本文引用的文献

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Tick-induced allergies: mammalian meat allergy, tick anaphylaxis and their significance.蜱虫引起的过敏反应:哺乳动物肉类过敏、蜱虫过敏反应及其意义。
Asia Pac Allergy. 2015 Jan;5(1):3-16. doi: 10.5415/apallergy.2015.5.1.3. Epub 2015 Jan 28.
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A list of the 70 species of Australian ticks; diagnostic guides to and species accounts of Ixodes holocyclus (paralysis tick), Ixodes cornuatus (southern paralysis tick) and Rhipicephalus australis (Australian cattle tick); and consideration of the place of Australia in the evolution of ticks with comments on four controversial ideas.澳大利亚蜱类的70个物种列表;全环硬蜱(麻痹蜱)、角形硬蜱(南方麻痹蜱)和澳大利亚扇头蜱的诊断指南及物种描述;以及对澳大利亚在蜱类进化中的地位的思考,并对四个有争议的观点进行评论。
Int J Parasitol. 2014 Oct 15;44(12):941-53. doi: 10.1016/j.ijpara.2014.08.008. Epub 2014 Sep 16.
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Conjunctival attachment of a tick: case report.蜱虫结膜附着:病例报告
Semin Ophthalmol. 2014 Jul;29(4):186-8. doi: 10.3109/08820538.2013.807847. Epub 2013 Aug 15.
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Tick paralysis in Australia caused by Ixodes holocyclus Neumann.澳大利亚由全环硬蜱(Ixodes holocyclus Neumann)引起的蜱瘫痪。
Ann Trop Med Parasitol. 2011 Mar;105(2):95-106. doi: 10.1179/136485911X12899838413628.
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Turk J Pediatr. 2009 Mar-Apr;51(2):172-3.
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Conjunctival attachment of a tick: clinicopathologic report of a case.蜱虫结膜附着:一例临床病理报告
J Emerg Med. 2011 Mar;40(3):e41-4. doi: 10.1016/j.jemermed.2007.11.040. Epub 2008 Jun 2.
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Ixodes tick infestation of the eyelid of a child.儿童眼睑的硬蜱感染。
Can J Ophthalmol. 2006 Dec;41(6):783-4. doi: 10.3129/i06-082.
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Lone-star tick bite of the conjunctiva.孤星蜱叮咬结膜。
Arch Ophthalmol. 2001 Dec;119(12):1854-5.
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Clinical and neurophysiological features of tick paralysis.蜱瘫痪的临床和神经生理学特征。
Brain. 1997 Nov;120 ( Pt 11):1975-87. doi: 10.1093/brain/120.11.1975.
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Spinose ear tick, Otobius megnini, attached to the conjunctiva of a child's eye.刺皮耳蜱(Otobius megnini)附着在一名儿童的眼结膜上。
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