Subconjunctival Dirofilaria repens  

Oleh:

Khoramnia, Ramin ; Wegner, Aharon

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 363 no. 25 (Dec. 2010), page 363:e37.
Topik: EYE - DISEASES AND DEFECTS; Solitary Subconjunctival
Fulltext: Solitary Subconjunctival Moving Parasite.pdf (40.71KB)

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K.2010.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

A 53-year-old woman presented with a 3-week history of conjunctival redness, swelling, and the sensation of having a foreign body in the lateral conjunctiva of her left eye (arrow). She had traveled to Sri Lanka 10 months before presentation. Examination revealed a solitary, subconjunctival, moving worm (Panel A; see also video, available at NEJM.org). There was no evidence of intraocular or visceral involvement. Complete resolution was achieved after the surgical removal of the parasite (Panel B), which was 10 cm long. Dirofilaria repens is a zoonotic filarial nematode affecting dogs and other carnivores in Africa, Asia, and southern Europe. Microfilariae transmitted by mosquitoes develop into fertile macrofilariae in the definitive host. Human infection can occur; commonly affected organs include the skin, lung, eyes, female breast, and male genitals. The parasite usually remains infertile in its accidental human host. Unlike cases of ocular loiasis, in which the Loa loa worm is the infective parasite, there is typically no need for systemic antifilarial medication.

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