Purpose

Here we present a case of human ophthalmomyasis due to Oestrus ovis in a patient living in an urban area. Dipterians of the Ostridae family may occasionally deposit larvae into the human eye and cause ocular parasitosis called ophthalmomyasis. Cases like this are mostly connected with people who live in close contact with animals, like shepherds, but are rarely presented in urban population.

Methods

The patient was presented at University Clinic due to problems with his left eye, that persist no matter on treatment in local clinic a few days before. During the slit lamp examination larvae was detected and extracted from the conjunctiva. Genomic DNA was isolated from the sample and genetic analysis was performed.

Results

Larvae was identified as a first-stage larvae of O. ovis.

Conclusion

This is the first report of genetically confirmed case of ophthalmomyasis in Bosnia and Herzegovina. In cases like this, clinicians should be aware of possibility of this rarely described presentation of ocular parasitosis since even the urban population can be accidentally affected due to a lack of natural hosts.

中文翻译：

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波斯尼亚和黑塞哥维那发现首例由绵羊发情（双翅目）引起的人类眼肌病基因确诊病例。

目的

在这里，我们介绍了一个居住在城市地区的患者因羊发情而患上人类眼肌病的案例。Ostridae 科的双翅目昆虫有时会将幼虫放入人眼中并引起称为眼肌病的眼部寄生虫病。像这样的案例多与牧羊人等与动物有密切接触的人有关，但很少出现在城市人口中。

方法

患者因左眼问题就诊于大学诊所，几天前无论在当地诊所接受治疗，问题仍然存在。在裂隙灯检查期间，检测到幼虫并从结膜中提取。从样品中分离基因组 DNA 并进行遗传分析。

结果

幼虫被鉴定为O. ovis的第一阶段幼虫。

结论

这是波斯尼亚和黑塞哥维那首次报告基因确诊的眼肌病病例。在这种情况下，临床医生应该意识到这种很少描述的眼寄生虫病表现的可能性，因为即使是城市人口也可能因缺乏自然宿主而受到意外影响。