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[A case of loiasis].

S Yara1, F Higa, N Arakaki

  • 1First Department of Internal Medicine, University of the Ryukyus.

Kansenshogaku Zasshi. the Journal of the Japanese Association for Infectious Diseases
|March 23, 2001
PubMed
Summary
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Loiasis, a parasitic infection common in Africa, was treated in Japan for the first time. Ivermectin (IVM) effectively reduced microfilaria counts in a patient with no adverse effects, suggesting its utility for loiasis treatment.

Area of Science:

  • Tropical medicine
  • Parasitology
  • Infectious diseases

Background:

  • Loiasis, caused by the parasitic worm *Loa loa*, is endemic in Central and West Africa.
  • Imported cases are rare in non-endemic regions like Japan, with only three previously reported.
  • This report details a unique case of loiasis diagnosed and treated in Japan.

Observation:

  • A 28-year-old male from Gabon presented with characteristic eye symptoms of loiasis.
  • The patient was diagnosed with *Loa loa* infection.
  • This marked a rare instance of loiasis in Japan.

Findings:

  • The patient received Ivermectin (IVM) therapy, a treatment gaining global attention for filarial diseases.
  • IVM treatment led to a significant decrease in blood microfilaria counts.

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  • No adverse effects were observed during or after the treatment course.
  • Implications:

    • This case highlights Ivermectin as a potentially effective treatment for loiasis.
    • The successful use of IVM in Japan broadens its therapeutic application for imported parasitic infections.
    • Further research is warranted to confirm IVM's efficacy and safety profile for loiasis globally.