Tabuenca Del Barrio Laura, Mozo Cuadrado Marcos, Zubicoa Enériz Alicia, Martínez de Espronceda Ezquerro Iñigo
Complejo Hospitalario de Navarra, Ophthalmology, Pamplona, Navarra, Spain.
Complejo Hospitalario de Navarra, Dermatology, Pamplona, Navarra, Spain.
GMS Ophthalmol Cases. 2020 Feb 27;10:Doc09. doi: 10.3205/oc000136. eCollection 2020.
To report the occurrence and management of an eyelashes infestation by Phthirus pubis. A 27-year-old female presented with itching in her right eye and head after she had been traveling in southern Italy five days earlier. Visual acuity (VA) was 20/20 in both eyes. Slit-lamp examination showed bilateral blepharitis. Moreover, mobile insects and eggs attached to the eyelashes were observed. A microbiological study was performed with a Phthirus pubis result. The patient was treated with mechanical dislodging. The resolution of the infection was carried out removing every insect and egg. A vaseline application twice daily for 7 days was necessary to stifle any nits that could remain. The eyelashes pediculosis is frequently caused by Phthirus pubis. Only a minor percentage of the cases are due to Phthirus capitis, but the differential diagnosis is essential: there are Phthirus pubis pediculosis cases due to sexual abuse. A sexual history and screening for other sexually transmitted diseases is warranted.
报告阴虱感染睫毛的发生及处理情况。一名27岁女性在5天前到意大利南部旅行后，出现右眼及头部瘙痒。双眼视力均为20/20。裂隙灯检查显示双侧睑缘炎。此外，还观察到附着在睫毛上的活动昆虫和虫卵。进行了微生物学研究，结果显示为阴虱。对患者进行了机械清除治疗。通过清除每一只昆虫和虫卵实现了感染的消退。为了扼杀可能残留的虱卵，每天需涂抹凡士林两次，持续7天。睫毛虱病常由阴虱引起。仅有一小部分病例是由头虱引起，但鉴别诊断至关重要：存在因性虐待导致的阴虱虱病病例。因此有必要询问性病史并筛查其他性传播疾病。
