目的: 探讨隐翅虫进眼后引起眼内炎的临床特点及诊疗要点。方法: 复习1例隐翅虫进眼后导致眼内炎患者的临床资料,并结合相关文献分析其发病过程及诊疗思路。结果: 隐翅虫引起的睑皮炎、重症角膜结膜炎并发展致眼内炎较为罕见,需尽早积极减轻隐翅虫毒素损伤,控制炎症并促进角膜上皮修复。结论: 隐翅虫进眼引起眼内炎起病较急,临床误诊率较高,准确的早期诊断和及时治疗,可有效控制病情发展。

[1] SCHUNKERT E M,ASCHOFF N S,GRIMMER F,et al.Paederus dermatitis-touched by champion flies-three clinical manifestations of pederin toxin-inflicted dermatitis[J].Int J Dermatol,2018,57(8):989-991.
[2] 张劲.隐翅虫性眼部损伤误诊9例[J].国际眼科杂志,2012,12(6):1206-1207.
[3] 王增贤,沈继龙,夏秀芳,等.隐翅虫体内毒素与皮炎关系的实验观察[J].寄生虫与医学昆虫学报,2004,11(2):107-110.
[4] VERALDI S,CUKA E,CHIARATTI A,et al.Paederus fuscipes dermatitis:a report of nine cases observed in Italy and review of the literature[J].Eur J Dermatol,2013,23(3):387-391.
[5] NASIR S,AKRAM W,KHAN R R,et al.Paederus beetles:the agent of human dermatitis[J].J Venom Anim Toxins Incl Trop Dis,2015,21:5.
[6] 刘水炳.隐翅虫眼睑皮炎261例分析报告[J].中国中西医结合皮肤性病学杂志,2004,3(3):177.
[7] POOLE T R.Blister beetle periorbital dermatitis and keratoconjunctivitis in Tanzania[J].Eye(Lond),1998,12(Pt 5):883-885.
[8] NEAMIN G,NEGGA A,MUKEMIL H,et al.Paederus dermatitis outbreak in addis ababa,ethiopia:a case-control study[J]. J Environ Public Health,2021,2021:8892785.
[9] VERMA S,GUPTA S.Ocular manifestations due to econda(Paederus sabaeus)[J].Med J Armed Forces India,2012,68(3):245-248.
[10] 吴士勇,吴伟.隐翅虫性角膜结膜炎22例临床观察[J].眼科新进展,2009,29(12):948-949.
[11] TIWARI N N,KODAVOOR S K,RAMAMURTHY D,et al.Peripheral ulcerative keratitis:an extremely rare case presentation after Paederus (beetle) injury[J].Indian J Ophthalmol,2019,67(1):120-121.
[12] 黎波,刘杰成,吴清波.药物及手术治疗隐翅虫所致重症角膜结膜炎的观察[J].中华眼外伤职业眼病杂志,2016,38(8):622-624.
[13] KARTHIKEYAN K,KUMAR A. Paederus dermatitis[J].Indian J Dermatol Venereol Leprol,2017,83(4):424-431.
[14] PRASHER P,KAUR M,SINGH S,et al.Ophthalmic manifestations of Paederus dermatitis[J].Int Ophthalmol,2017,37(4):885-891.
[15] HUANG F C,CHEN W J,SHIH M H.Paederus-induced keratitis[J].Cornea,2010,29(8):941-943.