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Volume 29, Number 4—April 2023
Dispatch

Ocular Trematodiasis in Children, Sri Lanka

Chandana H. Mallawarachchi, Mangala M. Dissanayake, Sidesh R. Hendavitharana, Saman Senanayake, Nisayuri Gunathilaka, Nilmini T.G.A. Chandrasena, Thishan C. Yahathugoda, Susiji WickramasingheComments to Author , and Nilanthi R. de Silva
Author affiliations: Medical Research Institute, Colombo, Sri Lanka (C.H. Mallawarachchi); District General Hospital, Trincomalee, Sri Lanka (M.M. Dissanayake, N. Gunathilaka); Base Hospital, Kantale, Sri Lanka (S.R. Hendavitharana); National Hospital, Kandy, Sri Lanka (S. Senanayake); University of Kelaniya, Kelaniya, Sri Lanka (N.T.G.A. Chandrasena, N.R. de Silva); University of Ruhuna, Galle, Sri Lanka (T.C. Yahathugoda); University of Peradeniya, Peradeniya, Sri Lanka (S. Wickramasinghe)

Main Article

Table

Clinical history of 3 male patients with confirmed ocular trematode infections in study of ocular trematodiasis in children, Sri Lanka*

Case no. Age, y Infection site Clinical manifestations Trematode identification
1
 13
 Right eye
 A 3-wk history of redness in right eye followed by formation of an episcleral nodule. Examination revealed a dome-shaped, whitish,3-mm episcleral nodule situated inferonasal ≈3 mm from the limbus.
 Trematode metacercaria and histologic diagnosis (Figure 1, panels A, B)
2
 12
 Right eye
 A 3-mo history of episcleral nodule in right eye. Examination revealed a scleral nodule, 2 mm in diameter, medial to the limbus.
 Unknown trematode isolate 1 and ITS2 sequencing (Figure 2)
3 11 Right eye A 3–4-wk history of redness and irritation in right eye and formation of an episcleral nodule. Examination revealed a scleral nodule, 4 mm in diameter, medial to the limbus. Unknown trematode isolate 2 and ITS2 sequencing (Figure 2)

*ITS2, internal transcribed spacer 2 gene.

Main Article

Page created: January 25, 2023
Page updated: March 21, 2023
Page reviewed: March 21, 2023
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