Diagnostic aspects and retinal imaging in ocular toxocariasis: a case report from Italy.

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Authors: Verallo O,Fragiotta S,Verboschi F,Vingolo EM,
Address: Department of Ophthalmology, "S. M. Goretti" Hospital, University of Rome "La Sapienza", Via G. Reni, 04100 Latina, Italy.
Journal: Case Rep Med.


Publication: 2012;2012:984512. doi: 10.1155/2012/984512. Epub 2012 Apr 3.
Free Text: Diagnostic aspects and retinal imaging in ocular toxocariasis: a case report from Italy.

abstract

Toxocara canis is a nematode parasite, commonly found in dogs. This roundworm parasite can invade the eye, causing visual impairment. Toxocara should be considered as a possible causative agent of posterior and diffuse uveitis, and it could be considered in the differential diagnosis of retinoblastoma. ocular manifestations vary from severe endophthalmitis to silent incidental findings on a routine examination. We report a case of ocular toxocariasis in a 24-year-old Asiatic female that presented to us complaining of visual impairment. Fundoscopic examination revealed a posterior pole granuloma and exudative retinal detachment along with exudates. Presentation, clinical findings, morphological changes, and treatment are discussed. The enzyme-linked immunosorbent assay serology for Toxocara canis was performed, demonstrating the positivity for IgG and IgE. Treatment with the antihelminthic albendazole was initiated. Fluorescein angiography (FA; HRA 2, Heidelberg engineering) and optical coherence tomography (OCT; Spectralis, Heidelberg tomography) were performed, and results have been reported.



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