Filariasis ocular por Loa loa . ¿Parasitosis tropical emergente en Europa?

Herrero-Morín, José David; González, Maria N Fernández; Rodríguez, F González; López, Enrique García; Argüelles, M Díaz

doi:10.1157/13091490

Cited by 7 publications

(3 citation statements)

References 9 publications

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“…Concomitant use of oral corticoids diminishes the probability of allergic reaction and encephalopathy induced by the rapid mortality of microfilaria in the blood in cases with high microfilaremia, 3,5 as in the present case.…”

Section: Discussionsupporting

confidence: 53%

“…In contrast, infested visitors exhibit significant allergic symptomatology (itching and angioedema in limbs). 2,4,5 Loa loa can remain up to 15 years in the host before migrating 2,5 and must spend between 6 and 12 months before females can reproduce. 4 It can be said that the patient of this case, who is from Equatorial Guinea, a country with a loiasis prevalence of 27.1%, 3 was already infested before her last visit to the endemic region, confirmed with a higher rate of microfilaremia (1 microfilaria per ml) and her history of moving nodules and edema in lower limbs during childhood.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Ocular loiasis in a patient with chronic hypereosinophilia

Burgués-Ceballos

Marcos

March

et al. 2014

Archivos de la Sociedad Española de Oftalmología (English Editi

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Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Ocular loiasis in a patient with chronic hypereosinophilia

Burgués-Ceballos

Marcos

March

et al. 2014

Archivos de la Sociedad Española de Oftalmología (English Editi

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“…These 52 cases, plus the expatriate patient described in the case reports above, are summarized in Table 2. Sixty-one cases (60.4%) were reported from Europe 8,12,16,17,[19][20][21]24,[26][27][28][29][31][32][33][34][35][36][37]42,43,[45][46][47][48][51][52][53][54]56,59,61,63,64,67,69,70,[72][73][74]77,[79][80][81][82][83][86][87][88][90][91]<...>…”

Section: Literature Reviewmentioning

confidence: 99%

Imported Loa loa filariasis: three cases and a review of cases reported in non-endemic countries in the past 25 years

Antinori

Schifanella

Million

et al. 2012

International Journal of Infectious Diseases

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The aim of this study was to highlight the increasing chance of Western physicians encountering patients (both immigrants and expatriates/travelers) seeking help for loiasis. Methods: We describe three cases of imported loiasis observed at two hospitals in Italy and France, and present a review of all previously published cases in the medical literature in the last 25 years . The search was performed using PubMed and Scopus databases using the terms ''Loa loa'' AND ''loiasis''. Results: We reviewed 101 cases of imported loiasis of which 61 (60.4%) were reported from Europe and 31 (30.7%) from the USA. Seventy-five percent of infestations were acquired in three countries: Cameroon, Nigeria, and Gabon. Overall, peripheral blood microfilariae were detected in 61.4% of patients, eosinophilia in 82.1%, eye worm migration in 53.5%, and Calabar swellings in 41.6%. However, Calabar swellings and eosinophilia were more common among expatriates/travelers, whereas African immigrants were more likely to have microfilaremia. Eye worm migration was observed in a similar proportion in the two groups. Only 35 patients (including the three described here) underwent clinical follow-up for a median period of 10.5 months (range 1-84 months); clinical relapse occurred in three of these patients and persistence or reappearance of blood microfilaria in another two. Conclusions: Due to increasing travel and the migration of people from the endemic countries of West Africa to Europe and the USA, we speculate on the possible emergence of loiasis. Western physicians should be aware of the typical (eye worm migration and Calabar swellings) as well as unusual clinical presentations.

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