Nepalese journal of ophthalmology : a biannual peer-reviewed academic journal of the Nepal Ophthalmic Society : NEPJOPH · 2014
Sac over the sac - a rare case of subcutaneous dirofilariasis over the lacrimal sac area.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Shankar Mahesh Kumar, Shet Satish, Gupta Piyush, Nadgir Shobha Druva
Аннотация
INTRODUCTION: Dirofilariasis is a rare parasitic infestation in humans.
CASE: A 33-year-old female from the coastal area presented with a swelling over the right lacrimal sac area. It was clinically diagnosed as a lacrimal abscess and was incised under local anaesthesia. A live coiled worm was found and removed along with the cyst.
OBSERVATIONS: The worm looked like a thin white thread measuring 101 mm in length. On microscopic examination, the anterior end was slightly tapered and had a rounded head. The H & E stained section of the worm revealed longitudinal ridges with transverse striations on the cuticle. Based on these findings,the worm was identified as dirofilaria repens.
CONCLUSION: Dirofilariasis should be considered in the differential diagnosis of orbital region swelling and conjunctivitis. Surgical removal of the worm not only establishes the diagnosis but provides a definitive cure.
CASE: A 33-year-old female from the coastal area presented with a swelling over the right lacrimal sac area. It was clinically diagnosed as a lacrimal abscess and was incised under local anaesthesia. A live coiled worm was found and removed along with the cyst.
OBSERVATIONS: The worm looked like a thin white thread measuring 101 mm in length. On microscopic examination, the anterior end was slightly tapered and had a rounded head. The H & E stained section of the worm revealed longitudinal ridges with transverse striations on the cuticle. Based on these findings,the worm was identified as dirofilaria repens.
CONCLUSION: Dirofilariasis should be considered in the differential diagnosis of orbital region swelling and conjunctivitis. Surgical removal of the worm not only establishes the diagnosis but provides a definitive cure.