Journal of The Korean Ophthalmological Society (대한안과학회지)

The Korean Ophthalmological Society (대한안과학회)
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A Case of Thelazia Callipaeda Recurred At a One-month Interval

1달 간격으로 재발생한 동양안충의 인체감염 1예

  • Lee, Sung-Min (Department of Ophthalmology, Myongji Hospital, Kwandong University College of Medicine) ;
  • Shin, Kyu-Min (Department of Ophthalmology, Myongji Hospital, Kwandong University College of Medicine) ;
  • Kim, Dong-Hee (Department of Ophthalmology, Konkuk University Chungju Hospital) ;
  • Kang, Byung-Nam (Department of Ophthalmology, Konkuk University Chungju Hospital)
  • 이성민 (관동대학교 의과대학 명지병원 안과학교실) ;
  • 신규민 (관동대학교 의과대학 명지병원 안과학교실) ;
  • 김동희 (건국대학교 충주병원 안과) ;
  • 강병남 (건국대학교 충주병원 안과)
  • Received : 2009.12.21
  • Accepted : 2010.05.04
  • Published : 2010.06.15
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Abstract

Purpose: To report a relapsed case of an intra-conjunctival Thelazia callipaeda infestation within one month. Case summary: A 59-year-old female patient presented with symptoms of itching and a sense of foreign substance in her left eye, which she had been experiencing for several days. Conjunctival hyperemia and follicle multiplication along with ten actively moving worms were identified and were extracted with forceps. The symptoms disappeared until 25 days later, when they recurred and five additional worms were extracted. All of the extracted worms were confirmed to be Thelazia callipaeda and the patient's symptoms disappeared after the final extraction. Conclusions: More than one month of follow-up observation is required for human infection by Thelazia callipaeda due to the post- extraction growth of the larva.

목적: Thelazia callipaeda의 결막 침입이 1달 간격으로 재발생한 1예를 경험하였기에 이를 보고하는 바이다. 증례요약: 59세 여자환자가 수일전부터 발생한 좌안의 가려움과 이물감을 주소로 내원하였다. 결막충혈, 여포 증식과 함께 활발히 움직이는 10마리의 충체가 발견되어 겸자로 적출하였다. 이후 이물감과 가려운 증상 없이 지내다가 25일 뒤 동일한 증상으로 내원하여 5마리의 충체를 추가로 적출하였다. 적출된 충체는 모두 Thelazia callipaeda로 확진되었고 마지막 적출 후 환자의 증상 호소는 사라졌다. 결론: 동양안충의 인체 감염은 적출 후 유충의 성장을 고려하여 1달 이상의 추적 관찰이 필요하겠다.

Keywords

References

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