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一例因颚口线虫迁移至玻璃体腔导致的葡萄膜炎

[A case of uveitis due to gnathostoma migration into the vitreous cavity].

作者信息

Sasano K, Ando F, Nagasaka T, Kidokoro T, Kawamoto F

机构信息

Department of Ophthalmology, Nagoya National Hospital, Japan.

出版信息

Nippon Ganka Gakkai Zasshi. 1994 Nov;98(11):1136-40.

PMID:7825510
Abstract

We report a 26 year-old male patient who had floaters and hyperemia in his left eye following uveitis due to gnathostoma that had migrated into the vitreous cavity. Severe iridocyclitis and mild opacity of the vitreous body were observed, together with whitish-yellow subretinal tracks accompanied by dot and blot hemorrhages in the fundus. Slit lamp microscopic examination revealed a worm which writhed in the vitreous cavity. We performed vitrectomy to remove the worm from the anterior vitreous uneventfully, followed by prompt subsidence of the inflammatory signs. The worm was identified as a third instar larva of Gnathostoma doloresi. Eosinophilia and creeping eruption did not appear throughout the follow-up period. The patient was accustomed to eat live roaches and whitebait, as well as sliced raw beef liver.

摘要

我们报告了一名26岁男性患者,其因颚口线虫病引起葡萄膜炎后,左眼出现飞蚊症和充血,该线虫已迁移至玻璃体腔。观察到严重的虹膜睫状体炎和轻度玻璃体混浊,同时眼底有白黄色视网膜下条索,并伴有点状和斑状出血。裂隙灯显微镜检查发现一条蠕虫在玻璃体腔内扭动。我们进行了玻璃体切除术,顺利地从前玻璃体中取出了蠕虫,随后炎症体征迅速消退。该蠕虫被鉴定为杜氏颚口线虫的第三期幼虫。在整个随访期间未出现嗜酸性粒细胞增多和匐行疹。该患者习惯食用活蟑螂、银鱼以及生牛肉肝片。

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