Rodríguez-Calzadilla M, Ruíz-Benítez M W, de-Francisco-Ramírez J L, Redondo-Campos A R, Fernández-Repeto-Nuche E, Gárate T, Morchón R
Unidad de Gestión Clínica de Oftalmología, Hospital de Jerez de la Frontera, Jerez de la Frontera, Cádiz, España.
Unidad de Gestión Clínica de Microbiología, Hospital de Jerez, Jerez de la Frontera, Jerez de la Frontera, Cádiz, España.
Arch Soc Esp Oftalmol. 2017 Sep;92(9):439-441. doi: 10.1016/j.oftal.2016.07.008. Epub 2016 Aug 17.
The case concerns a 33-year-old Ukrainian woman, who came to the Ophthalmology Emergency Service, stating that she had a «worm» under the skin of her upper left eyelid that wriggled at night and bit her. A complete examination revealed a subcutaneous foreign body, which showed a filarial appearance and seemed to crawl under the skin. It was surgically removed to discover a live parasite, PCR-identified as Dirofilaria repens.
Humans are accidental hosts in the cycle of Dirofilaria. There are only 8 reported cases of subcutaneous infection in Spain. Due to global warming, D. repens has become an emerging infectious agent in Central Europe countries such as Ukraine. The findings in this case are discussed.
该病例涉及一名33岁的乌克兰女性,她前往眼科急诊服务部门,称其左上眼睑皮下有一条“虫子”,晚上会蠕动并叮咬她。全面检查发现一个皮下异物,其呈现出丝虫样外观,似乎在皮下爬行。通过手术将其取出后发现是一条活寄生虫,经聚合酶链反应(PCR)鉴定为匐行恶丝虫。
人类是匐行恶丝虫传播周期中的偶然宿主。西班牙仅有8例皮下感染的报告病例。由于全球变暖,匐行恶丝虫已成为乌克兰等中欧国家的一种新兴传染病原体。对该病例的检查结果进行了讨论。