Li Katie, Geddie Brooke, Sutherland Liliya, Sharma Sumit, Srivastava Sunil, Boss Joseph
Michigan State University College of Human Medicine, East Lansing, MI, USA.
Section of Pediatric Ophthalmology, Helen DeVos Children's Hospital, Grand Rapids, MI, USA.
J Vitreoretin Dis. 2021 Jun 22;6(2):147-150. doi: 10.1177/24741264211022514. eCollection 2022 Mar-Apr.
To report an unusual case of intraocular cysticercosis in a 11-year-old boy that presented with chronic posterior uveitis and associated recalcitrant subfoveal and multifocal subretinal fluid blebs. The patient was later found to have a subsequent free-floating vitreous cyst that had been concealed from examination for years.
Case report.
A diagnostic and therapeutic vitrectomy and cyst extraction revealed eosinophilic material suggestive of cysticercosis. Brain magnetic resonance imaging revealed suggestive neurocysticercosis and serological titers for cysticercosis immunoglobulin G were positive. After antihelminthic therapy and surgical removal of the cyst, the patient did well with complete resolution of multifocal subretinal fluid blebs and visual acuity improvement to 20/25.
Ocular cysticercosis is a sight-threatening parasitic disease that can cause visually threatening manifestations if not identified and treated in a timely manner. Awareness of atypical presentations such as seen in this case in a pediatric patient is paramount.
报告一例11岁男孩眼内囊尾蚴病的罕见病例，该病例表现为慢性后葡萄膜炎，并伴有难治性黄斑下和多灶性视网膜下液泡。该患者后来被发现有一个游离的玻璃体囊肿，多年来一直未被检查发现。
病例报告。
诊断性和治疗性玻璃体切除术及囊肿摘除术显示嗜酸性物质，提示囊尾蚴病。脑部磁共振成像显示提示神经囊尾蚴病，囊尾蚴病免疫球蛋白G的血清学滴度呈阳性。经过抗蠕虫治疗和囊肿手术摘除后，患者情况良好，多灶性视网膜下液泡完全消退，视力提高到20/25。
眼囊尾蚴病是一种威胁视力的寄生虫病，如果不及时识别和治疗，可导致威胁视力的表现。认识到儿科患者中如本病例所见的非典型表现至关重要。
