A Case of Thelazia callipaeda Infestation with Preseptal Cellulitis.

Lee, Dong Hyun; Park, Sung Hee; Yu, Hak Sun; Lee, Ji Eun

doi:2018.59.2.181

J Korean Ophthalmol Soc > Volume 59(2); 2018 > Article

Case Report

Journal of the Korean Ophthalmological Society 2018;59(2):181-184.
DOI: https://doi.org/10.3341/jkos.2018.59.2.181 Published online February 15, 2018.

A Case of Thelazia callipaeda Infestation with Preseptal Cellulitis.

Dong Hyun Lee, Sung Hee Park, Hak Sun Yu, Ji Eun Lee

¹Department of Ophthalmology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea. Jiel75@hanmail.net
²Department of Parasitology, Pusan National University School of Medicine, Yangsan, Korea.
³Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea.

안와격막앞연조직염을 동반한 동양안충 감염 1예

이동현¹⋅박성희²⋅유학선²⋅이지은^1,3

부산대학교 의학전문대학원 양산부산대학교병원 안과학교실¹, 부산대학교 의학전문대학원 기생충학교실², 부산대학교 의학전문대학원 양산부산대학교병원 의생명융합연구소³

Correspondence: Ji Eun Lee,
Email: Jiel75@hanmail.net

Received: 2 November 2017 • Revised: 3 December 2017 • Accepted: 22 January 2018

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.

Key Words: Oriental eye worm;Preseptal cellulitis;Thelazia callipaeda