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与视力模糊和视力损害相关的眼弓蛔虫病:4例报告

Ocular Toxocariasis Associated with Blurred Vision and Visual Impairment: Report of Four Cases.

作者信息

Zibaei Mohammad, Mahdavi Fatemeh Sadat, Firoozeh Farzaneh, Hasani Hamidreza, Bahadory Saeed

机构信息

Department of Parasitology and Mycology, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.

Evidence-Based Phytotherapy and Complementary Medicine Research Center, Alborz University of Medical Sciences, Karaj, Iran.

出版信息

Iran J Parasitol. 2022 Jan-Mar;17(1):118-123. doi: 10.18502/ijpa.v17i1.9034.

Abstract

Ocular toxocariasis in humans is caused by infection with larvae of species, which are common ascarid roundworms of mammals, kept in close proximity to human. Four cases with a history of contact with dogs and cats and blurred vision and visual impairment over periods of variable duration were examined. We screened patients diagnosed with ocular larva migrans syndrome between March and June 2021 at the Ophthalmology clinics affiliated with Alborz University of Medical Sciences, Karaj, Iran. Detailed demographics, clinical characteristics, and fundus photography were recorded. Anti- antibodies in the sera and vitreous fluid detected by ELIZA. Complete recovery in all four patients was achieved following treatment with oral albendazole. The diagnosis of ocular toxocariasis can be challenging, because both the condition is relatively uncommon and its presentation varies from patient to patient. There are lots of differential diagnoses like retinoblastoma, therefore correct, quick diagnosis, and treatment is very important.

摘要

人类眼部弓蛔虫病是由感染某些物种的幼虫引起的,这些幼虫是哺乳动物常见的蛔虫,与人类密切接触。对4例有接触狗和猫史且在不同时间段出现视力模糊和视力损害的病例进行了检查。我们在伊朗卡拉季阿尔伯兹医科大学附属眼科诊所对2021年3月至6月期间诊断为眼部幼虫移行症综合征的患者进行了筛查。记录了详细的人口统计学资料、临床特征和眼底照片。通过酶联免疫吸附测定法检测血清和玻璃体液中的抗抗体。4例患者经口服阿苯达唑治疗后均完全康复。眼部弓蛔虫病的诊断可能具有挑战性,因为这种疾病相对不常见,而且其表现因患者而异。有许多鉴别诊断,如视网膜母细胞瘤,因此正确、快速的诊断和治疗非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb93/9375726/a2ec499addca/IJPA-17-118-g001.jpg

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