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Cutaneous larva migrans with optic disc edema: a case report.

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Area of Science:

  • Ophthalmology
  • Tropical Medicine
  • Parasitology

Background:

  • Cutaneous larva migrans (CLM) is a parasitic skin infection.
  • Optic disc edema is swelling of the optic nerve head.
  • The association between CLM and optic disc edema is previously unreported.

Purpose of the Study:

  • To report a rare case of optic disc edema secondary to cutaneous larva migrans.
  • To emphasize the importance of a thorough travel and symptom history in diagnosing unusual presentations.

Main Methods:

  • A case study of a 45-year-old male naturalist presenting with visual disturbance.
  • The patient had a history of CLM acquired in Kenya.
  • Diagnosis was supported by clinical presentation and response to treatment.

Main Results:

  • The patient presented with unilateral optic disc edema and visual disturbance.
  • Treatment with a single dose of ivermectin led to resolution of optic disc edema.
  • Visual acuity returned to normal following treatment.

Conclusions:

  • This is the first reported case of optic disc edema associated with CLM.
  • Highlights the necessity of inquiring about travel history and skin lesions in patients with optic disc edema.
  • Collaborative management between ophthalmology and tropical medicine is crucial for such cases.