Anmeldung zur Tagung
Registration
Grußwort
Invitation
Themen
Topics
Allgemeiner Ablauf
General overview
Wissenschaftliches Programm
Scientific program
Kurse
Courses
Symposien
Symposiums
Frühstück mit Spezialisten
Breakfast with specialists
Arzthelferinnen-Fortbildung
Rahmenprogramm
Social program
DOG Information
DOG Information
Allgemeine Informationen
General Information
Autorenindex
Index of Authors
Ausstellerliste
Exhibitors
Sponsoren
Sponsors
Teilnahmegebühren
Registration fees
Impressum
Primarily misleading late manifestation of ocular Loa loa: a casereport in the west of Germany
1Uhlig C. E., 2Dietrich M., 1Busse H.
1Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Münster, Domagkstr. 15, D-48129 Münster; 2Bernhard-Nocht-Institut für Tropenmedizin, Bernhard-Nocht-Str. 74, D-20359 Hamburg
Objective: Filarioses are rare diseases and may lead to wrong
diagnoses when associated with monosymptomatic, ocular symptoms. We report
on a patient with delayed treatment due to insufficient differential diagnosis
Material and methods: Case report of a 30-year old patient from
Kamerun who has exclusively lived in Europe, mostly in Germany, for the
last six years. He complained of a hazy vision and a painful right eye
for 24 hours. He had already received local treatment from an ophthalmologist
the day before but symptoms did not vanish, instead his eye became red
a few hours later. Anamnesis was a localized alopecia, the last time three
months ago, bronchial asthma for eight years and intermittent itching
tumescen-ces of his arms and legs. His father suffers from glaucoma.
Results: He had a conjunctival hyperemia of his right eye and the
upper palpebrum was sensitive to pressure. Both optic discs presented
a cup/disc ratio of 0.5. There was no inflammation neither in the anterior/posterior
chamber nor in the vitreous. Best corrected visual acuity was 0.8 on both
sides. A filaria of 2.6 cm was moving under the superior conjunctiva of
his right eye, especially when slightly sqeezed. The filaria disappeared
into the parabulbar space though cocain and 2%-pilocarpine local treatment
series were applied immediately. Diagnosis of Loa loa was confirmed by
antibodies against nematodes, Loa loa-microfilarias and eosinophilia (13
%) in the blood. Treatment was diethylcarbamazin 3 x 150 mg/d for 21 days,
starting in-station.
Conclusions: Increasing international migration makes extracontinental
diseases more probable in central Europe. Filarioses might be borne in
mind when patients with tropical anamnesis which dates back even to years
ago complain of 'red' or 'painful eyes'.