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International Ophthalmology

, Volume 38, Issue 5, pp 2167–2170 | Cite as

Ocular loiasis in Ohio: a case report

  • Brandon J. Baartman
  • Lynh Nguyen
  • Peter Wiest
  • Thomas L. Steinemann
Case Report

Introduction

Loiasis, a systemic infection with the parasitic nematode Loa loa endemic to wet regions of western and central Africa, can present several years after a patient’s last exposure to the vector fly Chrysops sp. [1]. Though prevalent in countries such as Cameroon, Gabon, and Nigeria, it is considered an extreme rarity in the USA and other Western countries [2, 3, 4, 5]. A classic clinical finding is that of ocular pain, redness, foreign body sensation, and a visible, motile worm in the subconjunctival space. We present here a case of ocular loiasis diagnosed in Cleveland, OH, in an immigrant who last visited his native country of Cameroon 5 years prior to presentation.

Case

A 27-year-old man from Cameroon presented to the MetroHealth Eye Clinic as an urgent referral from the emergency department for presumed scleritis of the left eye. He described pain and redness in the eye starting the day prior, worsening overnight. He had been seen twice in the previous three years for...

Notes

Compliance with ethical standards

Conflict of interest

The authors have no conflicts of interest to disclose.

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Copyright information

© Springer Science+Business Media B.V. 2017

Authors and Affiliations

  • Brandon J. Baartman
    • 1
  • Lynh Nguyen
    • 2
  • Peter Wiest
    • 3
  • Thomas L. Steinemann
    • 1
  1. 1.Division of Ophthalmology, Department of SurgeryMetroHealth Medical CenterClevelandUSA
  2. 2.Department of PathologyMetroHealth Medical CenterClevelandUSA
  3. 3.Department of Infectious DiseasesMetroHealth Medical CenterClevelandUSA

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