Serra Moltó A, Molina Martín J C, Mengual Verdú E, Hueso Abancens J R
Servicio de Oftalmología, Hospital Universitario San Juan de Alicante, San Juan de Alicante, Alicante, España.
Servicio de Oftalmología, Hospital Universitario San Juan de Alicante, San Juan de Alicante, Alicante, España.
Arch Soc Esp Oftalmol (Engl Ed). 2018 Aug;93(8):402-405. doi: 10.1016/j.oftal.2018.02.006. Epub 2018 Mar 23.
A 46-year-old woman with no relevant medical history, native of Honduras and resident in Spain for one and a half months. The patient went to the Emergency Department due to inflammation of the upper eyelid of the right eye, with an area that simulated an abscess. This was drained (obtaining hardly any purulent content). Treatment was prescribed with oral and topical antibiotics, as well as an anti-inflammatory drug. One week later the patient returned, with improvement of the inflammatory signs, but with discomfort and corneal erosions. After eversion of the upper eyelid, a «worm» type parasite emerged from the tarsus. The extraction was completed with a clamp, and was later identified as Dermatobia hominis (Dh) by examination of a fresh specimen. The subsequent outcome of the patient was favourable.
Preseptal cellulitis in patients from tropical and sub-tropical areas can be caused by Dh.
一名46岁女性，无相关病史，来自洪都拉斯，在西班牙居住了一个半月。患者因右眼上眼睑发炎前往急诊科，发炎部位类似脓肿。对其进行了引流（几乎未引出任何脓性内容物）。开具了口服和局部用抗生素以及一种抗炎药进行治疗。一周后患者复诊，炎症体征有所改善，但仍有不适和角膜糜烂。上睑翻转后，从睑板中出现一条“蠕虫”样寄生虫。用夹子将其完整取出，随后通过对新鲜标本的检查确定为人皮蝇（Dh）。患者随后预后良好。
热带和亚热带地区患者的眶隔前蜂窝织炎可能由人皮蝇引起。
