NEJM:恐怖!眼睛里发现寄生虫

2016-10-08 MedSci MedSci原创

男性患者,21岁,因左眼瘙痒2周而就诊。患者自述曾在眼内看见有虫类物体。彻底冲洗患者的结膜囊和泪管,在这个过程中有3只蠕虫被冲洗出(图A)。所冲出的蠕虫为白色,细长,丝状线虫,长10-12毫米,宽0.16-0.18毫米,虫体两端较细尖(图B)。蠕虫前段有一个颊囊(图C),整个体表有表皮条纹(图D)。基于这些检查发现,鉴定此蠕虫为结膜吸吮线虫。这类寄生线虫通常会感染哺乳动物的泪腺和导管,包括狗,猫和

男性患者,21岁,因左眼瘙痒2周而就诊。患者自述曾在眼内看见有虫类物体。彻底冲洗患者的结膜囊和泪管,在这个过程中有3只蠕虫被冲洗出(图A)。

所冲出的蠕虫为白色,细长,丝状线虫,长10-12毫米,宽0.16-0.18毫米,虫体两端较细尖(图B)。蠕虫前段有一个颊囊(图C),整个体表有表皮条纹(图D)。基于这些检查发现,鉴定此蠕虫为结膜吸吮线虫。



这类寄生线虫通常会感染哺乳动物的泪腺和导管,包括狗,猫和人类。他们在亚洲的一些地区流行,但也有报道这些蠕虫在欧洲流行过。人类感染的治疗包括机械清除寄生虫。为了预防感染,在该种寄生虫流行的区域应远离媒介蝇种。本病例中,因为去除了寄生虫所以无复发现象。

原始出处:

Kyungmin Huh, Jeong Hoon Choi. Worms in the Eye. N Engl J Med 2016; 375:e30, DOI: 10.1056/NEJMicm1515440.

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    2016-10-13 1e10c84am36(暂无匿称)

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    2016-10-13 1e10c84am36(暂无匿称)

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    2016-10-12 boc_111

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    2016-10-11 1e10c84am36(暂无匿称)

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    2016-10-08 知难而进

    继续关注!

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=147730, encodeId=c9c514e7300a, content=文章真好,喜欢阅读, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Thu Oct 13 14:43:41 CST 2016, time=2016-10-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=147668, encodeId=7d1d14e668c4, content=文章真好,喜欢阅读, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Thu Oct 13 14:30:46 CST 2016, time=2016-10-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=147226, encodeId=a88414e226cd, content=可怕,现在还有, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=57ab1959292, createdName=boc_111, createdTime=Wed Oct 12 22:32:02 CST 2016, time=2016-10-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144306, encodeId=534d14430657, content=好文章,长见识, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Tue Oct 11 14:53:34 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=142205, encodeId=8109142205c5, content=继续关注!, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160811/IMG57AC91915ACA64463.jpg, createdBy=9c351934462, createdName=知难而进, createdTime=Sat Oct 08 22:17:48 CST 2016, time=2016-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=142204, encodeId=1a2f14220407, content=谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160811/IMG57AC91915ACA64463.jpg, createdBy=9c351934462, createdName=知难而进, createdTime=Sat Oct 08 22:17:42 CST 2016, time=2016-10-08, status=1, ipAttribution=)]
    2016-10-08 知难而进

    谢谢分享!

    0