保加利亚数例眼丝虫病。
Several Cases of Ocular Dirofilariasis in Bulgaria.
机构信息
Department of Infectious Diseases, Parasitology and Tropical Medicine, Medical University of Sofia, University Hospital "Prof. Iv. Kirov", Sofia, Bulgaria,
出版信息
Med Princ Pract. 2020;29(6):588-590. doi: 10.1159/000508960. Epub 2020 May 27.
OBJECTIVES
In this study, we describe ocular dirofilariasis in Bulgaria.
MATERIALS AND METHODS
We studied 7 patients with a subconjunctival or periorbital form of Dirofilaria repens infection during 2010-2019. Morphological, serological, and paraclinical diagnostic methods were used.
RESULTS
The patients (6 females, 1 male) were aged between 23 and 72 years. In 3 patients, subcutaneous nodules were detected in the area of the upper eyelid, in 1 patient the location was suborbital. In 3 other patients, a subconjunctival location was found. All patients were cured definitively by removal of the larva, without etiologic treatment.
CONCLUSION
The most reliable and easily accessible diagnostic method is morphological analysis by microscopy of histological preparations of the parasite. In dirofilariasis, ocular location is the most common in humans, and it deserves special attention of clinicians.
目的
本研究旨在描述保加利亚眼部犬恶丝虫病。
材料和方法
我们研究了 2010 年至 2019 年间 7 例结膜下或眶周组织感染犬恶丝虫的患者。采用了形态学、血清学和临床诊断方法。
结果
患者（6 女 1 男）年龄 23 至 72 岁。3 例患者上眼睑处发现皮下结节，1 例患者眶周有结节。另外 3 例患者的位置在结膜下。所有患者均通过切除幼虫得到了明确治愈，无需病因治疗。
结论
最可靠且易于获取的诊断方法是通过寄生虫组织学切片的显微镜形态分析。在犬恶丝虫病中，眼部是最常见的感染部位，值得临床医生特别关注。
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