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안와격막앞연조직염을 동반한 동양안충 감염 1예

A Case of Thelazia callipaeda Infestation with Preseptal Cellulitis

대한안과학회지 2018년 59권 2호 p.181 ~ 184
이동현 ( Lee Dong-Hyun ) - 부산대학교 의학전문대학원 양산부산대학교병원 안과학교실

박성희 ( Park Sung-Hee ) - 부산대학교 의학전문대학원 기생충학교실
유학선 ( Yu Hak-Sun ) - 부산대학교 의학전문대학원 기생충학교실
이지은 ( Lee Ji-Eun ) - 부산대학교 의학전문대학원 양산부산대학교병원 안과학교실

Abstract

Purpose: To report a case of Thelazia callipaeda infection with preseptal cellulitis.

Case summary: A 24-year-old female presented with symptoms of conjunctival injection and ocular pain in her left eye and a parasite was found in her conjunctival sac. Using light microscopy, we identified Thelazia callipaeda and many larvae were observed in the vulva of an adult female worm. Three days later, erythematous swelling occurred in the left upper eyelid and four adult worms were found and removed with forceps. Third-generation cephalosporin and nonsteroidal anti-inflammatory drugs were administered orally; the eyelid swelling improved but the conjunctival injection remained. Later five and seven adult worms were removed every 4 weeks and the conjunctival injection improved with no parasites detected after the final extraction.

Conclusions: In the case of Thelazia callipaeda infection, it is necessary to identify eggs and larvae and to observe the patient for more than 1 month because of postextraction growth of the larvae. In addition, the possibility of preseptal cellulitis by Thelazia callipaeda should be considered.

키워드

Oriental eye worm; Preseptal cellulitis; Thelazia callipaeda
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