视神经鞘囊虫病。

IF 1.9 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American Journal of Tropical Medicine and Hygiene Pub Date : 2025-04-01 DOI:10.4269/ajtmh.24-0307

Gautam Lokdarshi, Navneet Chaturbedi, Shwetam Kumar, Subodh Kumar Singh

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引用次数: 0

摘要

一名30岁男性，表现为急性疼痛性单眼视力减退，无外伤或疾病史。虽然眼底图像可能类似于其他视网膜疾病，但眼科超声检查（US）是发现问题的关键。在美国，看到几个头节，表明囊虫，这是天蚕的幼虫阶段，感染视神经鞘的巩膜插入。由于阿苯达唑诱导的脊柱侧裂对视神经功能的炎症和毒性作用尚不确定，因此仅使用口服类固醇。作者报告说，逐渐减少类固醇剂量后，病情没有恶化或复发。

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Cysticercosis of the Optic Nerve Sheath.

A 30-year-old male presented with acute painful monocular diminution of vision, without any history of trauma or illness. Although the fundus image may resemble other retinal diseases, ophthalmic ultrasonography (US) was critical in detecting the problem. In the US, several scolexes were seen, indicating cysticerci, which are the larval stage of Tenia worm, infecting the optic nerve sheath at its scleral insertion. Only oral steroids were used because the inflammatory and toxic effects of albendazole-induced scolex-lysis on optic nerve function were uncertain. The authors reported no deterioration or recurrence on tapering doses of steroids.

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来源期刊

American Journal of Tropical Medicine and Hygiene 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.20

自引率

3.00%

发文量

508

审稿时长

3 months

期刊介绍： The American Journal of Tropical Medicine and Hygiene, established in 1921, is published monthly by the American Society of Tropical Medicine and Hygiene. It is among the top-ranked tropical medicine journals in the world publishing original scientific articles and the latest science covering new research with an emphasis on population, clinical and laboratory science and the application of technology in the fields of tropical medicine, parasitology, immunology, infectious diseases, epidemiology, basic and molecular biology, virology and international medicine. The Journal publishes unsolicited peer-reviewed manuscripts, review articles, short reports, images in Clinical Tropical Medicine, case studies, reports on the efficacy of new drugs and methods of treatment, prevention and control methodologies,new testing methods and equipment, book reports and Letters to the Editor. Topics range from applied epidemiology in such relevant areas as AIDS to the molecular biology of vaccine development. The Journal is of interest to epidemiologists, parasitologists, virologists, clinicians, entomologists and public health officials who are concerned with health issues of the tropics, developing nations and emerging infectious diseases. Major granting institutions including philanthropic and governmental institutions active in the public health field, and medical and scientific libraries throughout the world purchase the Journal. Two or more supplements to the Journal on topics of special interest are published annually. These supplements represent comprehensive and multidisciplinary discussions of issues of concern to tropical disease specialists and health issues of developing countries