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瞼血絲蟲(Thelazia Callipaeda)－病例報告
Thelazia Callwaeda-Case Report
摘要
本文介紹一40歲女性至菲律賓旅遊，返國半個月後，因左眼異物感求診，而後一個月內陸續自左眼結膜囊捉出四条蟲，经寄生蟲科確定为瞼血蟲(Thelazia Callipaeda)。 此蟲原寄生於哺乳類及鳥類結膜囊。1917年在中國大陸首度於人類發現。目前全世界已有兩百多例報告，皆發現於亞洲地區，其中中國大陸湖北山東省佔最多。多見於歲到３歲的農村嬰幼兒且飼養狗貓之家庭及夏秋季節。此蟲生活史及傳染方式未明，一般症狀輕微多為曲物感，嚴重者可併發繼發性青光眼，目前尚無特定藥物治療。此例因臺灣非盛行地區，疑為病患在菲律賓被傳染。
關鍵字
無資料並列摘要
A 40 years-Old female came to our hospital with left eye foreign body sensation after travelling to Phil-lipine two weeks ago. During the following one month time, we got four worms from her left conjun-civa sac. With the acknowlegement of parasitologic department, Thelazia Callipaeda was confirmed. The most common host of this worm are mammal and bird while the first case of human was found al China Mainland in 1917. Till now, there were about 200 cases and alt the cases were found in Asia area. The most prevalent area is Hubei and Santong Province in China Mainland. One half to three years- old children is the highest risk group especially the vitillage family which raise cat or dog. And the most prevalent seasons are summer and autumn. The lifecycle of this worm is unclear. The most frequent symlom of this disease is foreign body sensation while the severe case may develope secondary glaucoma. No sepecific treatment is available now, As Taiwain is not prevalent area, we suspect this case was infected in Phillipine.