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人头虱(虱科)感染睫毛:一例报告

Infestation of eyelashes by Pediculus humanus capitis (family: pediculidae): a case report.

作者信息

Abbasi Madineh, Yousefi Saideh

机构信息

Infectious and Tropical Diseases Research Center, Sina Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.

Sirjan School of Medical Sciences, Sirjan, Iran.

出版信息

J Med Case Rep. 2025 May 12;19(1):220. doi: 10.1186/s13256-025-05272-5.

DOI:10.1186/s13256-025-05272-5
PMID:40355929
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12070751/
Abstract

BACKGROUND

This case report describes a rare instance of Pediculus humanus capitis infestation affecting the eyelashes of a 10-year-old boy, notable for its ocular implications and unique diagnostic challenges.

CASE PRESENTATION

In November 2023, a 10-year-old Iranian boy from East Azerbaijan Province, northwest Iran, presented to the ophthalmologist with symptoms that included itching, eyelash adhesions, redness, and swelling around the eyes, along with small yellow spots on the eyelashes. The ophthalmological examination revealed no visual defects. An eyelash sample collected for analysis confirmed the presence of lice eggs and nymphs; lice were also found on the scalp. The treatment included tetracycline ointment. By the third day, the nymphs had been eradicated, but lice eggs remained. The remaining lice eggs were subsequently removed using forceps.

CONCLUSIONS

This case underscores the importance of considering parasitic infestations in patients with ocular symptoms and highlights the associated public health and hygiene implications.

摘要

背景

本病例报告描述了一例罕见的人头虱感染病例,该病例影响了一名10岁男孩的睫毛,因其眼部影响和独特的诊断挑战而值得关注。

病例介绍

2023年11月,一名来自伊朗西北部东阿塞拜疆省的10岁伊朗男孩因出现瘙痒、睫毛粘连、眼睛周围发红和肿胀以及睫毛上有小黄点等症状前往眼科医生处就诊。眼科检查未发现视力缺陷。采集的睫毛样本分析证实存在虱卵和若虫;头皮上也发现了虱子。治疗包括使用四环素眼膏。到第三天,若虫已被根除,但虱卵仍留存。随后用镊子清除了剩余的虱卵。

结论

本病例强调了在有眼部症状的患者中考虑寄生虫感染的重要性,并突出了相关的公共卫生和卫生学意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e266/12070751/93b7658d3f0a/13256_2025_5272_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e266/12070751/23fbdce39638/13256_2025_5272_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e266/12070751/93b7658d3f0a/13256_2025_5272_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e266/12070751/23fbdce39638/13256_2025_5272_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e266/12070751/93b7658d3f0a/13256_2025_5272_Fig2_HTML.jpg

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本文引用的文献

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Exploring the lived experiences of adolescent girls affected by head lice infestation: a qualitative descriptive study.探讨受头虱感染影响的少女的生活体验:一项定性描述性研究。
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Clinical Characteristics and Prognosis of Pediatric Phthirus pubis Coinfestation of the Eyelashes and Scalp Hairs.儿童耻阴虱合并睫毛和头皮毛发感染的临床特征和预后。
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J Cutan Pathol. 2022 Nov;49(11):929-930. doi: 10.1111/cup.14301. Epub 2022 Aug 23.
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Crab lice infestation in unilateral eyelashes and adjacent eyelids: A case report.单侧睫毛及邻近眼睑的阴虱感染:一例报告。
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Treatment of Phthiriasis Palpebrarum and Crab Louse: Petrolatum Jelly and 1% Permethrin Shampoo.睑部虱病和阴虱的治疗:凡士林和1%氯菊酯洗发水。
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