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Weekend Digest

Giemsa stain of blood smear of a 50M who returned to the US after a 10-year missionary work in Mali and Senegal. He presented with episodic angioedema and eosinophilia.

Name the pathogen, its treatment and complication of Rx.
2/
#Loa loa

Bite of chrysops deer fly

Larva migrates in tissues; matures into adult worm in 5 months, and live for 20 years.

Adults produce microfilaria that gets into lymphatics / blood —> tissues. Microfilaria does not mature into adult but lives for a year.
3/
#Loa loa migrates in tissues

Most infected people ASYMPTOMATIC

1. Calabar swelling - transient localized, non-tender swellings usually on arms and legs and near joints

2. Eye worm - visible movement of adult worm across the surface of eye

3. Eosinophilia and pruritus
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