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伪装成脂肪-皮样囊肿的囊尾蚴病

Cysticercosis Masquerading as Lipo-Dermoid.

作者信息

Sekar Mridhula, Shanbhag Nita Umesh, Sahana N

机构信息

Dr. Y. Patil Medical college and Hospital, Dept of Ophthalmology, Nerul, Navi Mumbai.

出版信息

Nepal J Ophthalmol. 2018 Jan;10(19):73-76. doi: 10.3126/nepjoph.v10i1.21697.

Abstract

Cysticercosis is caused by the larval stage of Taenia solium (Pork tape worm). Humans are the definitive hosts where the life cycle is completed and pig is the intermediate host. Incidence in India varies from 2-38% based on the consumption of pork, general hygiene and socio-economic status of the population. The parasite on reaching the small intestine encysts itself in various tissues. Most commonly Brain, Eyes, subcutaneous tissue. Intravitreal cyst is the commonest intra ocular presentation. Death of the parasite and release of the contents of the cyst causes an intense inflammatory reaction that can be devastating. We report the condition in a nine-year-old boy who presented with mild right upper lid swelling wherein cysticercus cellulosae cyst was found within the mass of the right lateral rectus muscle. It becomes important to report this case because of the unusual site of the cyst which masqueraded as a lipo-dermoid.

摘要

囊尾蚴病由猪带绦虫(猪肉绦虫)的幼虫阶段引起。人类是终宿主,在此完成生命周期,猪是中间宿主。在印度,发病率因猪肉消费情况、总体卫生状况以及人群的社会经济地位而异,范围为2%至38%。该寄生虫进入小肠后会在各种组织中形成囊肿。最常见于脑、眼、皮下组织。玻璃体内囊肿是最常见的眼内表现。寄生虫死亡并释放囊肿内容物会引发强烈的炎症反应,可能具有毁灭性。我们报告了一名9岁男孩的病例,他表现为右上睑轻度肿胀,在右侧外直肌肿块内发现了猪囊尾蚴囊肿。报告此病例很重要,因为囊肿的位置不寻常,伪装成了皮样脂肪瘤。

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