Medicina, Vol. 60 No. 2, 2024.
Studija slučaja
https://doi.org/10.21860/medflum2024_316229
External Ophtalmomyasis Caused by Oestrus Ovis Larvae: The First Case in the Primorje Goranska County, Croatia – a Case Report
Kristina Franjić
orcid.org/0000-0002-3557-1095
; Klinički bolnički centar Rijeka, Klinički zavod za kliničku mikrobiologiju, Rijeka, Hrvatska
*
Tin Šimić
; Klinički bolnički centar Rijeka, Klinika za oftalmologiju, Rijeka, Hrvatska
Ivana Škrobonja
orcid.org/0000-0003-3643-7629
; Klinički bolnički centar Rijeka, Klinički zavod za kliničku mikrobiologiju, Rijeka, Hrvatska
Vedran Markušić
; Klinički bolnički centar Rijeka, Klinika za oftalmologiju, Rijeka, Hrvatska
Maja Abram
; Klinički bolnički centar Rijeka, Klinički zavod za kliničku mikrobiologiju, Rijeka, Hrvatska; Sveučilište u Rijeci, Medicinski fakultet, Zavod za mikrobiologiju i parazitologiju, Rijeka, Hrvatska
* Dopisni autor.
Sažetak
Aim: The objective of this case report is to present the first case of ophthalmomyiasis caused by Oestrus ovis larvae in the Primorje Goranska County, Croatia, and to raise awareness of healthcare professionals about larval infestation as a possible cause of conjunctivitis. Case report: A female patient was examined at the emergency ophthalmology clinic because of a foreign body sensation in her eye. Ophthalmological examination revealed chemosis of the left bulbar junction with the presence of three larvae. After the application of a local anesthetic, the larvae were removed and sent for microbiological analysis. In light microscopy, the morphology corresponded to the L1 stage larvae of sheep botfly. Corticosteroid, antibiotic drops and eye ointment were recommended to the patient, and at the follow-up examination three days later there was a complete regression of the symptoms. Conclusions: So far, only two cases of ophthalmomyiasis from Croatia have been reported. Early diagnosis and treatment are important to prevent complications. There is no systemic therapy for this condition, but mechanical removal of the causative agent is carried out with a local antibiotic to prevent bacterial infection.
Ključne riječi
Hrčak ID:
316229
URI
Datum izdavanja:
1.6.2024.
Posjeta: 559 *