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Case report: Loiasis with peripheral nerve involvement and spleen lesions
Federico Gobbi1, Michel Boussinesq, Marta Mascarello
1Centro per le Malattie Tropicali, Ospedale Sacro Cuore-Don Calabria, Negrar, Verona, Italy. federico.gobbi@sacrocuore.it
Abstract:
Loiasis, which is caused by the filarial nematode Loa loa, affects millions of persons living in the rainforest areas and savannah regions of central Africa. Typical manifestations are calabar swellings and the eyeworm. We report a case of loiasis with unusual clinical complications: a peripheral neuropathy and focal hypo-echogenic lesions of the spleen, which disappeared after treatment with albendazole and ivermectin. The literature reports that L. loa infection can be associated with various manifestations, some of them being serious. More information is needed to better characterize the protean manifestations of the disease in loiasis-endemic areas to evaluate the true incidence of loiasis.
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