A Case of Ocular Angiostrongyliasis with Molecular Identification of the Species in Vietnam

A 23-year-old female residing in a village of Cao Bang Province, North Vietnam, visited the Hospital of Hanoi Medical University in July 2013. She felt dim eyes and a bulge-sticking pain in her left eye for some days before visiting the hospital. In the hospital, a clinical examination, an eye endoscopy, and an operation were carried out. A nematode specimen was collected from the eye of this patient. The body of this worm was thin and long and measured 22.0x0.3 mm. It was morphologically suggested as an immature female worm of Angiostrongylus cantonensis. By a molecular method using 18S rRNA gene, this nematode was confirmed as A. cantonensis. This is the first molecular study for identification of A. cantonensis in Vietnam.

Inferior rectus muscle ocular cysticercosis: a case report

Cysticercosis is a systemic parasitic disease caused by the larval form of cestode Taenia solium. It has a worldwide distribution and is potentially harmful with variable clinical manifestations. The most commonly involved sites include eye, brain, bladder wall, and heart. Ocular cysticercosis can be extraocular or intraocular and may present with varied clinical symptoms. We report the condition in a thirteen year old female child who presented with mild lower lid swelling and diplopia in upgaze, wherein cysticercus cellulosae cyst was found within the mass of the right inferior rectus muscle. It becomes important to report this case because of the relative rarity of the condition these days, unusual site of the cyst and the young age of the patient

Parasitism by Sphincterodiplostomum musculosum (Digenea, Diplostomidae) metacercariae in the eyes of Steindachnerina insculpta (Characiformes, Curimatidae) / Parasitismo por metacercárias de Sphincterodiplostomum musculosum (Digenea, Diplostomidae) nos olhos de Steindachnerina insculpta (Characiformes, Curimatidae)

New occurrences and effects of parasitism by metacercariae in fish eyes have recently been discussed in many studies. The aim of the present study was to evaluate the infection levels of the eye flukes Sphincterodiplostomum musculosum Dubois, 1936 (metacercariae) in Steindachnerina insculpta (Fernádez-Yépez, 1948) from three ecosystems under the influence of the Jurumirim reservoir (Paranapanema, Taquari and Veados Rivers). A total of 174 fish specimens were sampled between April 2011 and April 2012. There were high levels of infection by S. musculosum metacercariae in the eyes of S. insculpta from all the sampled ecosystems, thus presenting broad geographical distribution. The histological analyses revealed that the metacercariae were apparently lodged behind the retina. The smaller fish from the Taquari River were less parasitized by metacercariae than the adults. This pattern can be explained by the cumulative effect of parasitism, as demonstrated by the positive correlation between the abundance of metacercariae and fish body size.

Novas ocorrências e efeitos do parasitismo por metacercárias em olhos de peixe têm sido recentemente discutidas em muitos estudos. O objetivo deste estudo foi avaliar os níveis de infecção dos vermes de olho Sphincterodiplostomum musculosum Dubois, 1936 (metacercárias) em Steindachnerina insculpta (Fernádez-Yépez, 1948) de três ecossistemas influenciados pelo reservatório de Jurumirim (Rios Paranapanema, Taquari e Veados). Um total de 174 espécimes de peixes foi amostrado de Abril/2011 a Abril/2012. Metacercárias de S. musculosum mostraram altos níveis de infecção nos olhos de S. insculpta em todos os ecossistemas amostrados apresentando ampla distribuição geográfica. As análises histológicas revelaram que, aparentemente, estas metacercárias estavam alojadas por trás da retina. Os peixes menores do rio Taquari estavam menos parasitados por metacercárias do que os adultos. Esse padrão pode ser explicado pelo efeito cumulativo de parasitismo, evidenciado pela correlação positiva entre a abundância de metacercárias e tamanho do corpo dos peixes.

Dirofilaria repens in Vietnam: Detection of 10 Eye and Subcutaneous Tissue Infection Cases Identified by Morphology and Molecular Methods

From 2006 to 2010, hospitals in Hanoi treated 10 human patients for dirofilariasis. The worms were collected from parasitic places, and identification of the species was completed by morphology and molecular methods. Ten parasites were recovered either from the conjunctiva (n=9) or subcutaneous tissue (n=1). The parasites were 4.0-12.5 cm in length and 0.5-0.6 mm in width. Morphological observations suggested all parasites as Dirofilaria repens. Three of the 10 parasites (1 from subcutaneous tissue and 2 from eyes) were used for molecular confirmation of the species identification. A portion of the mitochondrial cox1 (461 bp) was amplified and sequenced. Nucleotide and amino acid homologies were 95% and 99-100%, respectively, when compared with D. repens (Italian origin, GenBank AJ271614; DQ358814). This is the first report of eye dirofilariasis and the second report of subcutaneous tissue dirofilariasis due to D. repens in Vietnam.

analysis of hydatid cyst surgeries in patients referred to hospitals in Khorram-Abad, Lorestan during 2002-06

Echinococcosis or hydatid cyst [HC] is considered as one of the major parasitic infections in Iran that causes many health problems and economic losses in communities. The aim of this study was to determine the prevalence of HC in patients referred to surgery wards of three hospitals in Khorram-Abad, the center of Lorestan province in South-West of Iran from 2002 - 2006. Totally, 64513 medical records of patients referred to surgery wards of Shohadaye Ashayer, Tohid and Taamine Ejtemaee hospitals in Khorram-Abad Lorestan were studied. These patients had gone under surgical operations for different reasons. Among these medical records, 43.7% belonged to Shohadaye Ashayer, 8.2% to Tohid and 18.1% to Taamine ejtemaee hospitals. Cysts were found in liver and lung in 61.5% and 20.5% of cases, respectively. In addition, cysts were found in brain, muscle, kidney eye and peritonea in the remaining 18% of cases. A very low level of knowledge about hydatid disease was found in the community. The mean age of the patients was 40.2 years and the highest rate of infection with HC was observed in women. Further studies are required to find the etiologic factors of H.C in Khorram-Abad Lorestan-Iran

A Case of Oular Sparganosis in Korea

PURPOSE: To present a case of ocular sparoganosis presenting as itching sensation. METHODS: A 60-year-old woman presented for removal of an itchy subconjunctival mass in her left eye. Her ocular findings were normal, except for a subconjunctival mass (1.5 x 1.5 mm). RESULTS: A parasite excised from the subconjunctival mass was identified as a sparganum, by microscopic examination after hematoxylin-eosin staining. The mummified parasite was identified as the plerocercoid phase of the sparganum, by microscopy. CONCLUSIONS: Although rare, parasitic disease should be suspected in a palpable subconjunctival mass unresponsive to the medical treatment.

Eye lesion caused by adult Brugia malayi: a first case reported in a child from Malaysia.

We are reporting a case of an eye lesion caused by an adult Brugia malayi. The patient was a 3-year-old Chinese boy from Kemaman District, Terengganu, Peninsular Malaysia. He presented with a one week history of redness and palpebral swelling of his right eye. He claimed that he could see a worm in his right eye beneath the conjunctiva. He had no history of traveling overseas and the family kept dogs at home. He was referred from Kemaman Hospital to the eye clinic of Hospital Tengku Ampuan Afzan, Kuantan, Pahang, Malaysia. On examination by the ophthalmologist, he was found to have a subconjunctival worm in his right eye. Full blood count revealed eosinophilia (10%). Four worm fragments, each about 1 cm long were removed from his right eye under general anesthesia. A thick blood smear stained with Giemsa was positive for microfilariae of Brugia malayi. A Brugia Rapid test done was positive. He was treated with diethylcarbamazine.

Enzooticity of the dogs, the reservoir host of Thelazia callipaeda, in Korea

The reservoir hosts of Thelazia callipaeda were examined. The eyes of the 76 dogs raised at farm, 78 military dogs (shepherds), 96 cattle, and 105 pigs were investigated for the presence of eyeworm. Among them, six worms of T. callipaeda were collected from two dogs raised at farm (2.7%), and 188 worms from 26 shepherds (33.5%). No worms were recovered from the cattle or pigs. These results suggest that the dogs, especially the military dogs are serving as a reservoir host of T. callipaeda. in Korea.

Manifestaçöes oculares em doenças tropicais - II: oncocercose / Ocular manifestations in tropical diseases - II: onchocerciasis

Os autores descrevem suas experiências no estudo da oncocercose na Regiäo Amazônica. Relatam manifestaçöes clínicas e laboratoriais da doença detectadas por equipe multidisciplinar entre os índios Ianomani

Larva migrans ocular por Toxocara: análisis de 31 casos / Ocular larva migrans by Toxocara: analysis of 31 cases

Se presentan 31 casos de Toxocariasis ocular, de los cuales 15 fueron observados en niños menores de 10 años y 16 en pacientes mayores de esa edad. En total hubo 23 casos en mujeres y 8 en hombres. En el 79,3% los pacientes tenían perros en el hogar y en el 44,5% gatos. La causa más frecuente de consulta fue la disminución de visión y el estrabismo. Demoraron en promedio 4 meses en consultar. En el examen de fondo de ojo se encontró un granuloma periférico unido a la papila por banda glial o tubo retinal en el 64% de los casos, uveítis en el 48,2%, granuloma periférico aislado en el 23,6% y granuloma de polo posterior en el 9,7%. El test de ELISA para toxocariasis resultó positivo en el 88% y, si se considera desde la dilución 1:32 la positividad baja a 64%. La cifra absoluta de eosinófilos en sangre periférica fue normal en el 50% de los casos, estuvo levemente aumentada en el 42,3% y fue muy alta en sólo el 7,7% de ellos. La mayoría de los pacientes fue tratada con tiabendazol, algunos con albendazol, y prednisona. En los controles post tratamiento se comprobó la desaparición de la inflamación ocular en casi todos, la fibrosis ocular persiste igual y en 3 pacientes apareció desprendimiento de la retina y en otros 3 cataratas. Ninguno de los casos requirió tratamiento quirúrgico de enucleación ocular

A brief report on Gnathostoma spinigerum specimens obtained from human cases.

A total of 23 gnathostome specimens different stages from the Hospital for Tropical Diseases, other general hospitals and medical clinics in Bangkok metropolitan area and central Thailand were identified as G. spinigerum. The various stages were as follows: Five advanced third-stage larvae (22.0%) of various sizes; 2.20-3.50 mm X 0.40-0.63 mm were removed from the skin, mucous membrane and the eyeball, of which the smallest measured 2.20 X 0.40 mm. Fourteen immature worms of both sexes were from the skin and mucous membrane, one spontaneously voided in the urine. The sizes varied from 4.63-9.35 mm X 0.60- 1.05 mm (8 male worms), and 3.83-16.25 mm. X 0.83-1.0 mm (6 female worms). All these immature worms had 8 rows of complete cephalic-hooklets with the exception of two with 6 and 7 rows of complete cephalic-hooklets. Four mature males size ranged from 9.9-12.5 mm X 1.0-1.25 mm. The smallest was removed from the abdominal skin of a newly born 7-day old baby evidently the case was prenatally transmitted.

Detección y descripción de la onchocerca volvulus

La diagnósis de la Onchocerca volvulus en el Ecuador se basa en la detección de la microfilaria en la piel, en la cual, para realizar la biopsia se usa un punch córneoescleral. Después de la incubación, las microfilarias que emergen son enumeradas y los resultados estandarizados. Otros métodos invasivos no son recomendados para la diagnósis. Un nódulo palpable o la presencia de microfilarias en el ojo, en ausencia de una biopsia positiva en la piel, tienen que ser consideradas en la pauta a seguir para la diagnósis. Futuros descubrimientos son necesarios para hacer de las pruebas serológicas un diagnsotico válido. La prueba de la reacción Mazzotti tiene que estar limitada únicamente a áreas en las cuales la biopsia de la piel es negativa y no hay evidencia de microfilaria en el tejido ocular. El gusano filaria extirpado de pacientes con oncocercosis tiene características de Onchocerca vaolvulus

Experimental attempts to induce ocular infection in cats with subperiodic Brugia malayi.

In an attempt to determine whether the finding of human ocular lesions due to B. malayi was due to the site of entry of the infective larvae, cats were infected via ocular instillation, subconjunctival inoculation, subcutaneous inoculation around and infective mosquito bites over the eyes. Although no conjunctival lesion was seen patent infections were produced via ocular instillation, subconjunctival and subcutaneous inoculation of infective larvae. Adult worms were also recovered from periorbital tissues. Adult worms were localized mainly in the lymphatic system of the head and neck regions of the cat. The results show that the conjunctival lesions seen in humans could be due to the site of bite of the mosquito and thus the entry of the infective larvae.