Abstract
AbstractThe African eye worm (Loa loa) is highly prevalent in several Sub-Saharan countries. In France, it remains an unusual and imported diagnosis, only observed in patients returning from endemic areas. The clinical presentation of loiasis covers a wide range of clinical symptoms, of which the sub-conjunctival migration of adult worms and Calabar swellings are the most common. However, unusual presentations have been described in the literature. Here we report on a 17-year-old patient presenting with a typical sub-conjunctival and sub-palpebral migration, who unexpectedly expelled an adult worm through the upper right gingival sulcus, in the days following the introduction of the antiparasitic treatment. We discuss the main epidemiological characteristics of loiasis and its diagnostic tools.
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