Ormur í auga og endurteknar bólgur á útlimum - Sjúkratilfelli

• Published in: Læknablaðið
• Main Authors: Davíð Þór Bragason, María Soffía Gottfreðsdóttir, Birgir Jóhannsson, Magnús Gottfreðsson
• Other Authors: 1) 2) Augndeild Landspítala 3) 4) Smitsjúkdómadeild Landspítala
• Format: Article in Journal/Newspaper
• Language: Icelandic
• Published: Læknafélag Íslands 2018
• Subjects: Augnsjúkdómar; Ormar; Sníklar; Loiasis; Eye Infections; Parasitic; OPH12; TMD12; Auga; Iceland
• Online Access: http://hdl.handle.net/2336/620692; https://doi.org/10.17992/lbl

To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Files Lýst er tveimur tilfellum af lóasýki hjá konum búsettum hér á landi, 35 ára konu sem fæddist í Afríku og 31 árs konu sem hafði ferðast um Afríku. Þær leituðu til læknis vegna óþæginda frá auga. Við skoðun sást í báðum tilfellum ormur, um 3 cm á lengd og 0,5 mm á breidd, sem hreyfðist undir slímhúð augans. Báðar konurnar höfðu einnig einkenni frá útlimum: endurteknar lotubundnar bólgur og kláða, og vöðvaverki. Greiningin var í báðum tilfellum lóasýki með Calabar-bólgum á útlimum og meðferð með albendazóli og díetýlcarbamazíni leiddi til lækningar. Aukinnar árvekni er þörf gagnvart sýkingum sem hafa verið sjaldgæfar í okkar heimshluta hingað til. We report two cases of Loa loa (eye worm) infection in Iceland; the former in a 35-year-old woman born in Africa but living in Iceland for several years; the latter in a 31-year- old woman who had traveled in Africa. Both women sought medical attention due to discomfort in one eye. On exami­nation a worm was noted in both cases, moving under the conjunctiva, 3 cm in length and 0.5 mm in diameter. Both patients also had symptoms from the extremities; episodic swelling and itching in the former case, and muscle pain in the latter. Both patients were diagnosed with loiasis with Calabar swellings of the extremities and were successfully treated with albendazole and diethylcarbamazine. Increased awareness is needed for infections which previously have been rare in the Nordics.