Ocular Sparganosis Mimicking an Orbital Idiopathic Inflammatory Syndrome
Ocular Sparganosis Mimicking an Orbital Idiopathic Inflammatory Syndrome
复制标题
DOI：
10.3109/01676830.2013.833253
复制
发表时间：
2013-01-01
期刊：
影响因子：
--
通讯作者：
Bee, Youn-Shen
中科院分区：
文献类型：
--
作者：
Ho, Tsai-Hsuan;Lin, Muh-Chiou;Bee, Youn-Shen
斯巴达病是一种由螺旋体绦虫的寄生绦虫幼虫感染的疾病。眼spargosis是一种罕见且容易误诊的疾病。我们报告了一例罕见的眼sparsparosis在最初的表现上模仿眼眶特发性炎症综合征。34岁女性，左眼睑快速进行性肿胀，轻度突出，持续1个月。其他眼部检查正常，甲状腺功能正常。磁共振成像显示左眼眶上斜肌梭状扩大和轻度不均质强化。首先接受强的松龙治疗，预后部分改善。六个月后，一条白色的、扁平的、皱巴巴的丝状蠕虫从左眼环眼结膜里蠕动出来。病理结果证实该虫为螺虫属幼虫。经去除幼虫并用吡喹酮治疗后，突起消失，无复发。眼spargosis是一种罕见的疾病，只有少数病例报告。药物治疗无效，手术切除为主要治疗方法。尽管罕见，眼sparsparosis应被认为是患者眼窝炎症的可能原因。
Sparganosis is an infection by the parasitic tapeworm larvae of Spirometra species. Ocular sparganosis is a rare disease that is easily misdiagnosed. We reported a rare case of ocular sparganosis mimicking orbital idiopathic inflammatory syndrome at initial presentation. A 34-year-old female presented with rapid progressive swelling of her left eyelid and mild proptosis for the duration of one month. The other ocular examinations were normal and the thyroid function was normal. Magnetic resonance imaging revealed a fusiform enlargement and mild heterogenous enhancement of the superior oblique muscle of the left orbit. First she received prednisolone therapy and the proptosis partially improved. Six months later, a white, flat and wrinkled string like worm wriggled out from the caruncular conjunctiva of the left eye. The pathology results confirmed that the worm was a Spirometra species larva. After removal of the larva and treatment with praziquantel, the proptosis was resolved without recurrence. Ocular sparganosis is a rare disease and only a few case reports have been reported. The drug therapy has not been effective and the surgical removal is the principal therapy. Despite its rarity, ocular sparganosis should be considered as a possible cause of orbital inflammation in patients.