俄羅斯一名32歲女子眼睛下方有個腫塊，她原先以為只是一般的斑點或青春痘，5天後腫塊卻跑到眼睛上方去，沒想到10天後，她的眼睛不腫了，不過卻變成上唇腫了起來。就醫治療後才得知嚇人真相，原來這些會移動的「腫塊」 竟是活生生的寄生蟲。
俄羅斯醫生在最近的《新英格蘭醫學期刊》發表這個案例。這名俄羅斯女性最初的症狀是在左眼與鼻子間長出非常微小的腫塊，5天後腫塊消失，眼瞼上卻長出像泡泡一樣的隆起，持續長達10天。當她就醫治療時，上嘴唇已經腫成原先的2倍大，且會發癢及發熱。
醫生得知這些腫塊會移動後，馬上判定女子的皮膚下有寄生蟲，決定動手術清除，經由手術夾出寄生蟲，發現是惡絲蟲（Dirofilaria repens）。絲蟲比較常會寄生於肉食動物例如貓、狗、狼、狐狸、海獅等，通常都是經由蚊子叮咬傳染，們在宿主體內最長可以活到8年，並且在其一生中釋放數百萬隻幼蟲進入血液。
其實這並不是該寄生蟲第一次在人體內被發現。2015年的一項研究顯示，光是在1997年至2013年間，俄羅斯與白俄羅斯就有多達1272件類似案例。而根據該名女子說法，她不久前曾到莫斯科外圍的鄉村旅行，還被很多蚊蟲叮咬。
醫生說，人體被惡絲蟲寄生的案裡比較罕見，還好惡絲蟲不會在人體內產卵繁殖，把蟲移除後，病患已經完全康復。另外醫生表示，若要預防感染，民眾應該注意環境衛生，以及做好個人防蚊措施，避免被蚊子叮咬和接觸流浪狗。
A 32-year-old woman in Russia had a lump under her eyes. She originally thought it was just a general spot or acne. After 5 days, the mass went to the top of her eyes. I didn’t expect her eyes to be swollen after 10 days, but it turned into The upper lip is swollen. It was only after the medical treatment that I learned the scary truth. These "tumors" that would move were actually living parasites.
Russian doctors published this case in the recent New England Journal of Medicine. The first symptom of this Russian woman was a very tiny mass between the left eye and the nose. After 5 days, the mass disappeared and a bubble-like bulge grew on the eyelid for up to 10 days. When she was treated for medical treatment, her upper lip was already swollen twice as large and itchy and hot.
When the doctor learned that the lumps would move, they immediately determined that there were parasites under the woman's skin, decided to remove them by surgery, and found the parasites through surgery to find Dirofilaria repens. Filaria often parasitizes carnivores such as cats, dogs, wolves, foxes, sea lions, etc., usually through mosquito bites, which can live up to 8 years in the host and release millions of larvae throughout their lifetime. Enter the blood.
In fact, this is not the first time the parasite has been found in the human body. A 2015 study showed that between 1997 and 2013, there were as many as 1,272 similar cases in Russia and Belarus. According to the woman, she traveled to the countryside outside Moscow not long ago and was bitten by many mosquitoes.
The doctor said that the human body is relatively rare in the case of parasitic worms. It is also good that the worms do not spawn in the human body. After the worms are removed, the patients have fully recovered. In addition, doctors said that in order to prevent infection, the public should pay attention to environmental hygiene, as well as personal anti-mosquito measures to avoid mosquito bites and contact with stray dogs.
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