Redón-Soriano M, Blasco A, Gomila B, González-Sánchez M, Simón F, Esteban J G
Servicio de Oftalmología, Hospital General Universitario de Castellón, Castellón, Spain.
Servicio de Microbiología, Hospital General Universitario de Castellón, Castellón, Spain.
Am J Ophthalmol Case Rep. 2022 Apr 30;26:101570. doi: 10.1016/j.ajoc.2022.101570. eCollection 2022 Jun.
Human dirofilariasis cases have increased in Europe for the last few decades. We document an autochthonous case of dirofilariasis infection in the subconjunctival space of a 60-year-old Spanish man.
The patient presented with pain in his right eye, which was diagnosed as -scleritis. In spite of the treatment administered, no improvement was reported. An external exam showed conjunctival congestion on the temporal part of the right eye bulbar conjunctiva. The anterior chamber showed no flare or cells in both eyes and dilated fundus exam was normal. Nevertheless, a long whitish vermiform mobile mass was detected under the conjunctiva in the temporal part of the right eye. The worm was surgically removed and diagnosed morphologically and also molecularly as . This species uses dogs and wild canids as definitive hosts and principal reservoirs, while mosquito species are transmitters. Humans act as accidental hosts, and clinical manifestations depend on the location of the worm in the organs and tissues.
The correct diagnosis and control of subcutaneous/ocular dirofilariasis by require several professionals under the One Health approach to deal with this zoonotic disease, which poses a serious public health problem, at least in the Mediterranean Basin.
在过去几十年中，欧洲人体盘尾丝虫病病例有所增加。我们记录了一名60岁西班牙男子结膜下间隙发生盘尾丝虫病感染的本地病例。
患者右眼疼痛，被诊断为巩膜炎。尽管进行了治疗，但未见好转。外部检查显示右眼球结膜颞侧结膜充血。双眼前房无闪光或细胞，散瞳眼底检查正常。然而，在右眼颞侧结膜下发现一个长的白色蠕虫状活动肿块。该蠕虫通过手术切除，并进行了形态学诊断和分子诊断为 。该物种以狗和野生犬科动物为终末宿主和主要储存宿主，而蚊种为传播媒介。人类作为偶然宿主，临床表现取决于蠕虫在器官和组织中的位置。
通过 对皮下/眼盘尾丝虫病进行正确诊断和控制，需要多名专业人员采用“同一健康”方法来应对这种人畜共患病，至少在地中海盆地，这是一个严重的公共卫生问题。
