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一例肌囊尾蚴病囊肿的有趣病例报告。

An Interesting Case Report on a Myocysticercosis Cyst.

作者信息

Tayal Ayushi, Daigavane Sachin, Gupta Nivesh

机构信息

Department of Ophthalmology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Apr 24;16(4):e58884. doi: 10.7759/cureus.58884. eCollection 2024 Apr.

Abstract

One of the most dangerous parasite infections, cysticercosis, is found practically everywhere in the world. Cysticercus cellulosae is the larval stage of the swine tapeworm Taenia solium, which causes cysticercosis. Orbital or ocular cysticercosis (OOC) is an avoidable cause of blindness. There are two types of ocular cysticercosis: intraocular (in the anterior chamber, subretinal space, or vitreous) and extraocular (in the orbital tissues or subconjunctival space). Here, we report a rare case of extraocular muscle cysticercosis that presented as a solitary, well-defined lobulated mass near the medial canthus in the right eye and was well managed medically with antihelminthic drugs and corticosteroid therapy. The key to diagnosing myocysticercosis is orbital imaging. Although brain and ocular involvement in cysticercosis is common, extraocular muscle cysticercosis is extremely uncommon and mainly affects young people and children. Orbital pseudotumor, idiopathic myositis, and hydatid cysts are a few differential diagnoses for ocular cysticercosis. It is critical to recognize and treat such illnesses as early as feasible to avoid serious consequences. Public health measures are essential to eradicate this disease in the area.

摘要

囊尾蚴病是最危险的寄生虫感染之一,在世界上几乎随处可见。猪带绦虫的幼虫阶段猪囊尾蚴可引发囊尾蚴病。眼眶或眼部囊尾蚴病(OOC)是一种可避免的致盲原因。眼部囊尾蚴病有两种类型:眼内型(在前房、视网膜下间隙或玻璃体)和眼外型(在眼眶组织或结膜下间隙)。在此,我们报告一例罕见的眼外肌囊尾蚴病病例,表现为右眼内眦附近一个孤立的、边界清晰的分叶状肿块,通过抗蠕虫药物和皮质类固醇治疗得到了良好的控制。诊断肌囊尾蚴病的关键是眼眶成像。虽然囊尾蚴病累及脑和眼很常见,但眼外肌囊尾蚴病极为罕见,主要影响年轻人和儿童。眼眶假瘤、特发性肌炎和包虫囊肿是眼部囊尾蚴病的一些鉴别诊断。尽早识别和治疗此类疾病以避免严重后果至关重要。公共卫生措施对于在该地区根除这种疾病至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a35a/11117026/4d9745913616/cureus-0016-00000058884-i01.jpg

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