Subconjunctival dirofilariasis in a healthy subject: a case report.

Amirhossein Aghajani, Mohammad Taher Rajabi, Seyed Mohsen Rafizadeh, Elham Rahmanikhah, Reza Samiee, Mohammad Reza Abdol Homayuni, Amin Zand
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Abstract

Purpose: To report a case of subconjunctival dirofilariasis presenting as an inflammatory mass-like lesion in a healthy individual.

Case presentation: A 20-year-old male with a recent history of wildlife exposure in a rural village presented with an inflammatory subconjunctival mass in his left eye. The lesion was surgically excised, and histopathological examination confirmed the presence of an immature nematode of Dirofilaria immitis. The patient was treated with oral ivermectin for two weeks postoperatively. After two months, the lesion had almost completely resolved, and no recurrence was observed during the 6-month follow-up.

Conclusions: Given the rarity of ocular dirofilariasis and its diverse presentations in different ocular and adnexal structures, prompt and complete excision followed by meticulous histopathological evaluation is crucial to guide appropriate management and achieve favorable outcomes.

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健康人结膜下双丝虫病1例
目的:报告一例结膜下双丝虫病在健康个体中表现为炎性肿块样病变。病例报告:一名20岁男性,近期在农村有野生动物接触史,左眼出现炎症性结膜下肿块。病变被手术切除,组织病理学检查证实了一种未成熟线虫的存在。患者术后口服伊维菌素2周。2个月后,病灶几乎完全消退,6个月随访无复发。结论:鉴于眼钩丝虫病的罕见性及其在不同眼部和附件结构中的多种表现,及时彻底切除并进行细致的组织病理学评估对于指导适当的治疗和取得良好的效果至关重要。
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来源期刊
CiteScore
3.80
自引率
3.40%
发文量
39
审稿时长
13 weeks
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