A case of ocular toxocariasis successfully treated with albendazole and triamcinolon
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
We present a case of ocular toxocariasis treated successfully with oral albendazole in combination with steroids. A 26-year-old male visited the authors' clinic with the chief complaint of flying flies in his right eye. The fundus photograph showed a whitish epiretinal scar, and the fluorescein angiography revealed a hypofluorescein lesion of the scar and late leakage at the margin. An elevated retinal surface and posterior acoustic shadowing of the scar were observed in the optical coherence tomography, and Toxocara IgG was positive. The patient was diagnosed with toxocariasis, and the condition was treated with albendazole (400 mg twice a day) for a month and oral triamcinolone (16 mg for 2 weeks, once a day, and then 8 mg for 1 week, once a day) from day 13 of the albendazole treatment. The lesions decreased after the treatment. Based on this study, oral albendazole combined with steroids can be a simple and effective regimen for treating ocular toxocariasis.
Abstract
We present a case of ocular toxocariasis treated successfully with oral albendazole in combination with steroids. A 26-year-old male visited the authors' clinic with the chief complaint of flying flies in his right eye. The fundus photograph showed a whitish epiretinal scar, and the fluorescein angiography revealed a hypofluorescein lesion of the scar and late leakage at the margin. An elevated retinal surface and posterior acoustic shadowing of the scar were observed in the optical coherence tomography, and Toxocara IgG was positive. The patient was diagnosed with toxocariasis, and the condition was treated with albendazole (400 mg twice a day) for a month and oral triamcinolone (16 mg for 2 weeks, once a day, and then 8 mg for 1 week, once a day) from day 13 of the albendazole treatment. The lesions decreased after the treatment. Based on this study, oral albendazole combined with steroids can be a simple and effective regimen for treating ocular toxocariasis.
참고문헌 (18)
- Stewart JM, "Prevalence, clinical features, and causes of vision loss among patients with ocular toxocariasis", Retina, 25, pp.1005~1013 (2005)
- Magnaval JF, "Highlights of human toxocariasis", Korean J Parasitol, 39, pp.1~11 (2001)
- Sabrosa NA, "Nematode infections of the eye : toxocariasis and diffuse unilateral subacute neuroretinitis", Curr Opin Ophthalmol, 12, pp.450~454 (2001)
- Barisani-Asenbauer T, "Treatment of ocular toxocariasis with albendazole", J Ocul Pharmacol Ther, 17, pp.287~294 (2001)
- 최동일, "Transmission of Toxocara canis via Ingestion of Raw Cow Liver: A Cross-Sectional Study in Healthy Adults", The Korean Journal of Parasitology, 50(1), pp.23~27 (2012), 대한기생충학ㆍ열대의학회
- 최동일, "Toxocariasis and Ingestion of Raw Cow Liver in Patients with Eosinophilia", The Korean Journal of Parasitology, 46(3), pp.139~143 (2008), 대한기생충학ㆍ열대의학회
- Wilkinson CP, "Intraocular toxocara", Am J Ophthalmol, 71, pp.921~930 (1971)
- Campbell JP, "Imaging in the diagnosis and management of ocular toxocariasis", Int Ophthalmol Clin, 52, pp.145~153 (2012)
- Rodman J, "In vivo diagnostic imaging of ocular toxocariasis", Clin Exp Optom, 92, pp.146~149 (2009)
- Schneier AJ, "Ocular toxocariasis : advances in diagnosis and treatment", Int Ophthalmol Clin, 51, pp.135~144 (2011)
- Magnaval JF, "Immunodiagnosis of ocular toxocariasis using Western-blot for the detection of specific anti-Toxocara IgG and CAP for the measurement of specific anti-Toxocara IgE", J Helminthol, 76, pp.335~339 (2002)
- 김용헌, "Seroprevalence of Toxocariasis among Healthy People with Eosinophilia", The Korean Journal of Parasitology, 46(1), pp.29~32 (2008), 대한기생충학ㆍ열대의학회
- Othman AA, "Therapeutic battle against larval toxocariasis : are we still far behind?", Acta Trop, 124, pp.171~178 (2012)
- Wisniewska-Ligier M, "Analysis of the course and treatment of toxocariasis in children--a long-term observation", Parasitol Res, 110, pp.2363~2371 (2012)
- Frazier M, "Treatment of ocular toxocariasis with albendazole : a case report", Optometry, 80, pp.175~180 (2009)
- Alexander LJ., "Primary Care of the Posterior Segment", pp.163~168 (2002), McGraw-Hill
- Amin HI, "Vitrectomy update for macular traction in ocular toxocariasis", Retina, 20, pp.80~85 (2000)
- Werner JC, "Pars plana vitrectomy and subretinal surgery for ocular toxocariasis", Arch Ophthalmol, 117, pp.532~534 (1999)