Sparganosis is a serious food-borne parasitic zoonosis that is not of high concern due to its rare prevalence. This disease is caused by larvae infection of the Spirometra species. Adult Spirometra cestodes live in the small intestine of carnivores. They release eggs with host faeces to contaminate the environment. The miracidia hatch from the eggs to find a suitable intermediate host. In nature, frogs act as the main secondary intermediate hosts [
5]. Humans are dead-end hosts for this parasite, infected by two primary methods: ingestion of uncooked meat of secondary intermediate hosts and ingestion of impure water contaminated with copepods [
6]. Sparganosis can parasitize anywhere in the human body, such as the breast, brain, and lungs [
7‐
9].
Li et al. reported that ocular sparganosis accounted for only 12.8% of all cases of sparganosis [
10]. Human orbital tissues or the ocular globe may be infected by Spirometra at the adult or larval stages. Structures affected may include the eyelids, conjunctival sacs, subconjunctiva, lachrymal glands, anterior chamber, and other areas (such as retina). Immune reactions may also be caused by Spirometra parasites in the eye. Ocular alterations or antibody-mediated reactions caused by this parasite can result in mild to severe clinical symptoms, including lacrimation, conjunctivitis, retinal lesions, and orbital tumors, resulting in structure or vision damage [
11]. However, sparganosis in the children’s eyes is a kind of relatively rare event. Although the majority of patients with sparganosis are adults, we shouldn’t neglect the possibility of this disease occurring among the children who couldn’t accurately express their discomfort and have the risky habits associated with the routes of parasitic infection. The patient in this study was only 8 years old and appeared to have been infected by frog consumption or frog poultice applications.
The diagnosis of sparganosis in this case was based on imaging, immunologic examination, and pathologic results. Chen et al. reported that cerebral sparganosis presented low and high density lesions on CT images and a ring or a beaded enhancement on enhanced magnetic resonance (MR) or CT images [
12]. Immunologic examination is very helpful when the diagnosis is in doubt. The ELISA test has widely been used because of its high sensitivity [
13]. A definitive diagnosis can be made by surgical pathologic inspections. In this case, due to early detection and surgery, the patient recovered well and had no eyesight damage. Therefore, we suggest that sparganosis should be suspected in an ocular mass unresponsive to medical treatment.
Surgical removal is the most effective for proliferative sparganosis [
14]. But considering the recurrence which is caused by an epibiotic scolex, it is worth mentioning that drugs such as praziquantel and mebendazole should be used for systemic infection of Sparganosis [
15]. What’s more, high-dose praziquantel can be used for inoperable cases of sparganosis, such as eosinophilic pleural effusion caused by Sparganum [
16] or cerebral sparganosis [
17].