Intravitreal Angiostrongylus cantonensis: first case report in South America

Autor: André Maia, Jade Lasiste, Nilva Simeren Bueno de Moraes, Liliane de Almeida Kanecadan, Rubens Belfort Junior, Gabriel Costa de Andrade, Miguel N. Burnier, João Rafael de Oliveira Dias
Rok vydání: 2018
Předmět:
Zdroj: Arquivos Brasileiros de Oftalmologia, Vol 81, Iss 1, Pp 63-65
ISSN: 0004-2749
Popis: This study reports the first case of intravitreal angiostrongyliasis in South America treated with posterior worm removal via pars plana vitrectomy. This was a retrospective, observational case study. Data from medical charts, wide-field digital imaging, ocular ultrasound, and visual evoked potential studies were reviewed. A 20-month-old boy presented with eosinophilic meningitis and right eye exotropia. Polymerase chain reaction analysis of the cerebrospinal fluid showed a positive result for Angiostrongylus cantonensis. Fundus examination revealed a pale optic disc, subretinal tracks, vitreous opacities, peripheral tractional retinal detachment, and a dead worm in the vitreous cavity. The patient underwent pars plana vitrectomy with worm removal. This case report illustrates the first case of intravitreal angiostrongyliasis in South America, possibly related to the uncontrolled spread of an exotic invasive species of snail.
Databáze: OpenAIRE