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Journal of Tropical Pediatrics Advance Access published online on September 26, 2005
Journal of Tropical Pediatrics, doi:10.1093/tropej/fmi092
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© The Author [2005]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Case Report

Ocular Angiostrongyliasis in a Child - First Case Report from India

S. Malhotra 1*, DK Mehta 1, R. Arora 1, D. Chauhan 1, S. Ray 2, and M. Jain 2

1 Department of Microbiology and Ophthalmology, Guru Nanak Eye Centre, India
2 Department of Microbiology, All India Institute of Medical Science, New Delhi, India

* To whom correspondence should be addressed.
S. Malhotra, E-mail: drshalinimalhotra{at}yahoo.com


  Abstract

A rare case report of Angiostrongylus cantonensis (rat lung worm) from the eye is presented here. This worm generally causes eosinophilic meningo-encephalitis and accidentally infects humans by ingestion of uncooked snails, slugs, frogs etc. The child was presented to us with diminished vision in left eye. Slit lamp examination showed an actively motile worm in the anterior chamber. Surgical extraction of the worm was performed and it was identified as A. cantonensis. This is the first case of ocular A. cantonensis infection from India with no signs or symptoms of meningitis. After surgery, the visual acuity of the patient returned to normal.


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