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NEJM：恐怖！眼睛里发现寄生虫

2016-10-08 MedSci MedSci原创

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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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    2016-10-11 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=87, 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=113, 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=94, 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=84, 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=103, 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=56, 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

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