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眼眶囊尾蚴病——伪装成伴有上睑下垂的眶隔前蜂窝织炎。

Orbital Cysticercosis - masquerading as preseptal cellulitis with ptosis.

作者信息

Raj Amit, Arya Sudesh Kumar, Topiwala Pratik, Gupta Panchmi, Sood Sunandan

出版信息

Nepal J Ophthalmol. 2015 Jul;7(14):206-8. doi: 10.3126/nepjoph.v7i2.14992.

DOI:10.3126/nepjoph.v7i2.14992
PMID:27363971
Abstract

We are sharing a case of orbital cysticercosis,which presented to us initially with simple ptosis and later on with upper lid inflammation and restricted ocular motility in upgaze. Human cysticercosis, a parasitic infection caused by Cysticercus cellulosae, the larval form of the cestode, Taenia solium, is a benign infection of the subcutaneous tissues, inter-muscular fascia, muscles and other organs. Though it exists worldwide, it is more prevalent in the developing countries of Latin America, Asia and Africa, especially in areas where under-cooked pork is consumed regularly (Pushker et al, 2001). However, 5 year study of 33 cases of Ocular/Adnexal cysticercosis showed seventy percent of patients were of low socioeconomic group and 70% were strictly vegetarians (Atul et al, 1995). The clinical manifestation of orbital cysticercosis is entirely different from neuro-cysticercosis or cysticercosis of other parts of body. Diagnosis of cysticercosis is mainly based on highly specific radiological signs and history of exposure in endemic areas.

摘要

我们正在分享一例眼眶囊尾蚴病病例,该病例最初表现为单纯上睑下垂,后来出现上睑炎症以及向上注视时眼球运动受限。人体囊尾蚴病是由猪带绦虫的幼虫——猪囊尾蚴引起的一种寄生虫感染,是皮下组织、肌间筋膜、肌肉及其他器官的一种良性感染。虽然该病在全球范围内都有存在,但在拉丁美洲、亚洲和非洲的发展中国家更为普遍,尤其是在经常食用未煮熟猪肉的地区(Pushker等人,2001年)。然而,一项对33例眼附属器囊尾蚴病患者的5年研究表明,70%的患者属于社会经济地位较低的群体,70%为严格的素食者(Atul等人,1995年)。眼眶囊尾蚴病的临床表现与神经囊尾蚴病或身体其他部位的囊尾蚴病完全不同。囊尾蚴病的诊断主要基于高度特异性的影像学征象以及在流行地区的接触史。

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