1/6. Subconjunctival loa loa worm: case report.A 38-year old Ghanaian suddenly had the sensation of a foreign body in his right eye. Slit-lamp examination revealed a transparent worm underneath the conjunctiva. With topical anesthesia, the complete worm, 3.5 cm long, was removed surgically. A microbiological analysis at the Institute of tropical medicine confirmed the diagnosis of loa loa. Laboratory tests showed negative blood eosinophilia, positive blood film examination for microfilariae and positive results for filarial serology. The postoperative treatment consisted of progressive doses of di-ethyl-carbamazine (50-->100-->200 mg/d). A subconjunctival loa loa worm is rare in belgium and usually occurs in immigrants or travellers returning from Tropical (Equatorial) West and Central africa. Our patient visited nigeria in 1985 and Ivory Coast in 1986. Those regions are highly endemic for loa loa.- - - - - - - - - - ranking = 1keywords = foreign (Clic here for more details about this article) |
2/6. loiasis: a case of an unusual ocular foreign body.loiasis is a parasitic illness that is endemic in parts of Central and West africa. In the united states, infection with loa loa is seen in natives from that region of africa and in those who have traveled to the area, often in the distant past. There can be significant differences in clinical manifestations between the two groups. We present a case of loiasis in an African native as well as a discussion of loa loa infection in natives and non-natives and current treatment strategies.- - - - - - - - - - ranking = 4keywords = foreign (Clic here for more details about this article) |
3/6. loa loa in the anterior chamber of the eye: a case report.An unusual case of loiasis from Assam is reported here. loa loa is a subcutaneous filarial parasite of man and is transmitted to humans by chrysops flies. The patient presented with foreign body sensation and visual disturbances of the right eye. Examination revealed a white coiled structure in the cornea. Routine blood and other investigations were within normal limits. A live adult worm was extracted and identity was confirmed by microscopy to be loa loa. Patient was treated with diethylcarbamazine and steroid. We found this case interesting as the worm was present in the anterior chamber--an unusual site and there were no other positive findings besides the lone worm.- - - - - - - - - - ranking = 1keywords = foreign (Clic here for more details about this article) |
4/6. Ocular loa loa with cryoprobe extraction of subconjunctival worm.A healthy 27-year-old West African man presented to the emergency room at the massachusetts eye and ear Infirmary complaining of a moving foreign body sensation in his right eye. He had experienced recurrent episodes of subconjunctival loa loa, a parasite endemic in africa. A cryoprobe was successfully used for extraction of a large adult worm. Strategies for the removal of subconjunctival worms are presented. The systemic and ocular manifestations of loa loa are reviewed and a discussion of complications of medical management follows.- - - - - - - - - - ranking = 1keywords = foreign (Clic here for more details about this article) |
5/6. loa loa infection as a cause of migratory angioedema: report of three cases from the texas Medical Center.loa loa is a filarial parasite that is endemic in West and Central africa. Expatriates infected with L. loa commonly develop characteristic migratory angioedema called Calabar swellings. We describe three patients who presented with classical Calabar swellings for whom the diagnosis of loiasis was delayed. Unusual features that were present included a leukocytoclastic vasculitis seen on skin biopsy (case 1), a relatively short exposure to an area of endemicity (cases 1 and 3), and a normal eosinophil count on initial evaluation (cases 2 and 3). We discuss the characteristic clinical manifestations of, pathological findings of, and therapy for loiasis. With the increased frequency of international travel, L. loa infection must be considered in the differential diagnosis for patients with migratory angioedema, urticarial vasculitis, or eosinophilia.- - - - - - - - - - ranking = 18.312085292462keywords = international (Clic here for more details about this article) |
6/6. A case of loiasis.The prevalence of loa loa infections in non-endemic areas such as korea is very low, even though it is quite common in the endemic regions of West and Central africa. We describe a patient who presented with temporary localized edema (classical Calabar swellings) after travelling to cameroon and in whom the diagnosis of loiasis was made by ELISA. This is the second reported case of loiasis in korea. As international travel is becoming more frequent, loa loa infection should be considered in the differential diagnosis for patients with eosinophilia and Calabar swellings in korea.- - - - - - - - - - ranking = 18.312085292462keywords = international (Clic here for more details about this article) |