Loa-Loa-Infektion des Auges - eine Fallserie
| Autor: | S. Hirsch-Hoffmann, K. A. Markwalder, J. Stemmle, F. Grimm, A. S. Zinkernagel, M. G. Wirth, Michael A. Thiel |
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| Rok vydání: | 2005 |
| Předmět: |
medicine.medical_specialty
Slit lamp biology business.industry Disease medicine.disease biology.organism_classification eye diseases Surgery Ophthalmology medicine.anatomical_structure Infectious disease (medical specialty) Loa loa filariasis Ocular diagnosis Surgical removal parasitic diseases medicine Eyelid Loa loa business |
| Zdroj: | Klinische Monatsblätter für Augenheilkunde. 222:226-230 |
| ISSN: | 1439-3999 0023-2165 |
| Popis: | Background: With increasing migration tropical diseases such as Loa loa infections are becoming more frequent in Europe. While the ocular diagnosis is usually straight forward, systemic work-up and treatment requires an interdisciplinary approach. We review the diagnostic and therapeutic work-up of ocular Loa loa infections based on a series of 4 cases that presented between 1998 and 2004. History and signs: The first symptoms in all cases were ocular irritations occurring 2 months to 8 years after a trip to West Africa. One case presented with a swollen upper eyelid without a visible worm. In three patients microfilariae were detected in the blood. Therapy and outcome: In two cases visible subconjunctival worms could be removed under the slit lamp. Three cases required systemic treatment as inpatients while one case could be observed without systemic treatment. All 4 cases had a favourable outcome with complete eradication of the disease. Conclusion: Surgical removal of adult Loa loa worms from the subconjunctival space only improves the ocular symptoms. An interdisciplinary approach (ophthalmology, infectious disease and parasitology) for a systemic work-up and treatment is usually required. |
| Databáze: | OpenAIRE |
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