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KMID : 0425120220600060419
Parasites, Hosts and Diseases
2022 Volume.60 No. 6 p.419 ~ p.421
A Case of Ocular Sparganosis in China: Episode of Migration from Muscle Cone to Subconjunctiva
Chen Xinyuan

Fang Yanyuan
Tao Liming
Liang Kun
Liu Miao
Abstract
To improve our understanding of the migration of sparganum in humans, we report a case of ocular sparganosis having the migratory episode from the muscle cone to the subconjunctiva. A 34-year-old woman was admitted to the Hospital of Anhui Medical University (Hefei, China), in December 2019. She presented with conjunctival hemorrhage and recurrent pain in the left eye. A foreign body was found in the muscle cone of the eye. Two months later, a ribbon-like white material was found under the conjunctiva on slit-lamp examination. A long and slender, actively moving parasite was extracted by surgery. The extracted worm was approximately 8 cm long and 2 mm wide. The worm was whitish, wrinkled, ribbon shaped, and had a slightly enlarged scolex. The worm sample was morphologically identified as a plerocercoid larva (sparganum) of the Spirometra tapeworm. Her conjunctival blood suffusion and eye pain ceased within 1 week after operation. She has been in good health without any symptoms during the 2-year follow-up. A case of ocular sparganosis, in which larval worm migrated from the muscle cone to the subconjunctiva is reported from China.
KEYWORD
Spirometra tapeworm, sparganum, ocular infection, surgical removal
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