Wang Xiaomei, Li Changzhen
Department of Laboratory Medicine, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, 430015, Wuhan, Hubei, China.
Department of Medical Laboratory, Wuhan Children's Hospital, HUST, Hong Kong Road No. 100, Jiang-an District, Wuhan, China.
Wien Klin Wochenschr. 2025 Apr 24. doi: 10.1007/s00508-025-02533-7.
Thelazia callipaeda, a zoonotic nematode, primarily infests the ocular tissues of mammals, occasionally humans. Infestations in infants under 1 year of age are rarely reported. This case describes an 8‑month-old male infant diagnosed with ocular T. callipaeda infestation in Hubei, China. The infant was brought to the hospital by his mother, who reported that he had been rubbing his right eye for 3 days, accompanied by increased ocular discharge and mild tearing. Upon examination, a whitish, motile, thread-like worm was observed in the conjunctival sac of the right eye. During ophthalmological surgical exploration, a total of 10 worms were removed from the right eye, with 8 sent for identification. All 8 adult nematodes collected were morphologically identified as T. callipaeda, consisting of 4 females and 4 males. Following the removal of the nematodes, the infant's ocular symptoms rapidly resolved, with no recurrence noted during a 2-month follow-up.
结膜吸吮线虫是一种人畜共患的线虫,主要寄生于哺乳动物的眼部组织,偶尔也会感染人类。1岁以下婴儿感染该线虫的病例鲜有报道。本病例描述了一名8个月大的男婴,在中国湖北被诊断为眼部结膜吸吮线虫感染。该婴儿由其母亲带到医院,母亲报告称他右眼揉眼3天,伴有眼部分泌物增多和轻度流泪。检查时,在右眼结膜囊中观察到一条白色、可活动的线状蠕虫。在眼科手术探查过程中,从右眼共取出10条蠕虫,其中8条送去鉴定。收集的所有8条成虫在形态上均被鉴定为结膜吸吮线虫,包括4条雌虫和4条雄虫。取出线虫后,婴儿的眼部症状迅速缓解,在2个月的随访中未发现复发。