Thread by @guerreroespejo

A 25-YO♂️ in Nigeria 2 years earlier: recurrent itchy swellings on his hands and forearms, appearing every week or so for the past few months.

What's in the #eye (A) & in the blood (B)?
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doi.org/10.1016/S0140-…
#Ophthalmology #parasitology #microbiology

Identification of:
📌an adult worm in the eye
📌the microfilariae on a blood smear

LOA LOA FILARIASIS is a skin and eye disease caused by the nematode worm Loa loa.
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#parasites #MedEd #MedTwitter

Loa loa is one of three parasitic filarial nematodes that cause subcutaneous filariasis in humans.
The other two are Mansonella streptocerca and Onchocerca volvulus (causes river blindness).
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#Doctor #MedStudentTwitter #oftalmologia

It is commonly known as the "eye worm", as it localizes to the conjunctiva of the eye

Episodic angioedema (Calabar swellings) in the arms & legs, caused by immune reactions, are common

Eosinophilia is often prominent in filarial infections
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#MedicalStudents #ojo #IDtwitter