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題名 | Ocular Thelaziasis Manifested as Conjunctivitis--A Case Report=病例報告--臨床上以結膜炎為表現之結膜吸允線蟲感染 |
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作者 | 陳沛仁; 陳昰辰; 張淑雯; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 46:1 2007.03[民96.03] |
頁次 | 頁46-50 |
分類號 | 416.741 |
關鍵詞 | 結膜炎; 結膜吸允線蟲; Human thelaziasis; Oriental eyeworm; Parasite; Conjunctivitis; |
語文 | 英文(English) |
中文摘要 | 目的:報告眼結膜吸允線蟲症的病人臨床上以結膜炎為表現以及治療的經過。 方法:病例報告。 結果:一位35歲男性有右眼搔癢感以及結膜發炎的症狀,最先被認為是過敏性結膜炎並治療之。後來在門診中發現結膜囊裡有數隻活寄生蟲。在局部麻醉的情形下取出寄生蟲後,病人症狀獲得舒緩。在一個月後回診時,結膜乳突發炎反應經類固醇藥水治療後也有大幅改善。後續的檢查發現是眼結膜吸允線蟲的感染。 結論:眼睛的寄生蟲感染相當少見,但陸續都有病例被報告。眼寄生蟲寄生感染常被誤診為結膜炎。在臨床上看到持續的結膜炎及結膜不適時,應將寄生蟲感染列入鑑別診斷的項目中! |
英文摘要 | Purpose: To report a case of Human Thelaziasis manifested with conjunctivitis. Methods: Interventional case report. Results: A 35-year-old male presented with unilateral eye itch and conjunctival injection, which was initially treated as allergic conjunctivitis. Several live worms were found in his conjunctiva sac. After removing the worms with forceps under topical anesthesia, the symptoms later improved. One month later, the papillary reaction and discharge subsided with topical corticosteroid. Subsequent examination showed the cause was infestation with Thelazia species. Conclusion: Ocular infections with helminthic parasites are uncommon and have been well described previously. The parasite infection may be clinically misdiagnosed as conjunctivitis. This case reminded us that Thelazia infestation should be included in the differential diagnosis of the patient with persist conjunctivitis, ocular itching and foreign body sensation. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。