Kumar Sonali Vinay, Mishra Sanjay Kumar, Bahal Ashish, Kumar Vinay
Associate Professor (Ophthalmology & Oculoplastic Surgeon), Army Hospital (R&R), Delhi Cantt, India.
Professor & Head (Ophthalmology) & Vitreoretinal Surgeon, Army Hospital (R&R), Delhi Cantt, India.
Med J Armed Forces India. 2024 Sep-Oct;80(5):582-585. doi: 10.1016/j.mjafi.2022.08.003. Epub 2022 Oct 4.
Ocular dirofilariasis is no longer a rare disease as more cases are being reported across the world and in India as awareness about this disease among health care professionals has increased. It is a helminthic infection which is caused by filarial parasite of the genus dirofilaria. It has a varied clinical presentation and the definitive diagnosis is based on microbiological and histopathological examination of the parasite. Herein, we report a unique case of ocular dirofilariasis in which a patient initially presented with features mimicking orbital cellulitis. Subsequently, the patient developed a subconjunctival lesion when orbital cellulitis subsided after three days of broad-spectrum antibiotics. The live worm was found when the lesion was incised, which was removed in toto and sent for microbiological examination. The nematode in our case was identified as dirofilaria repens. There was complete resolution of symptoms following surgical extraction of worm and no sign of recurrence was seen at 6 months follow-up.
随着全球和印度报告的病例增多，眼部丝虫病已不再是一种罕见疾病，因为医护人员对这种疾病的认识有所提高。它是一种由恶丝虫属的丝虫寄生虫引起的蠕虫感染。其临床表现多样，确诊基于对寄生虫的微生物学和组织病理学检查。在此，我们报告一例独特的眼部丝虫病病例，该患者最初表现出类似眼眶蜂窝织炎的症状。随后，在使用广谱抗生素三天后眼眶蜂窝织炎消退时，患者出现了结膜下病变。切开病变时发现了活虫，将其完整取出并送去进行微生物学检查。我们病例中的线虫被鉴定为匐行恶丝虫。手术取出蠕虫后症状完全缓解，在6个月的随访中未见复发迹象。
