2007
DOI: 10.1097/01.iae.0000224943.98423.e3
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Intravitreal Gnathostomiasis and Review of Literature

Abstract: Intravitreal gnathostomiasis is a rare disease. To our knowledge, only five case reports are available in the literature wherein the parasites were surgically removed from the vitreous cavity and the species were identified. In this report, we document the clinical features of intravitreal gnathostomiasis along with the route of entry and parasitic migration pattern in ocular tissue, surgical management, and electron microscopic features of the retrieved advanced third-stage larva of Gnathostoma spinigerum (aL… Show more

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Cited by 34 publications
(19 citation statements)
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“…Eosinophilia of the cerebrospinal fluid (CSF) is also highly supportive of CNS disease, with reported levels of 5 to 94% and a total CSF white cell count of up to 500/mm 3 (range, 20 to 1420/mm 3 ), but may also be found with several other parasites, e.g., Angiostrongylus cantonensis, Toxocara canis, Strongyloides stercoralis, Ascaris lumbricoides, Paragonimus westermani, Fasciola hepatica, and Trichinella spiralis and with schistosomiasis, neurocystercercosis, and other infections such as coccidiodomycosis and aspergillus infection (5,21). Noninfectious conditions involving the CNS should also be considered (e.g., lymphoma, particularly Hodgkin's) (40).…”
Section: Diagnosismentioning
confidence: 99%
“…Eosinophilia of the cerebrospinal fluid (CSF) is also highly supportive of CNS disease, with reported levels of 5 to 94% and a total CSF white cell count of up to 500/mm 3 (range, 20 to 1420/mm 3 ), but may also be found with several other parasites, e.g., Angiostrongylus cantonensis, Toxocara canis, Strongyloides stercoralis, Ascaris lumbricoides, Paragonimus westermani, Fasciola hepatica, and Trichinella spiralis and with schistosomiasis, neurocystercercosis, and other infections such as coccidiodomycosis and aspergillus infection (5,21). Noninfectious conditions involving the CNS should also be considered (e.g., lymphoma, particularly Hodgkin's) (40).…”
Section: Diagnosismentioning
confidence: 99%
“…Males remain unknown among some cephalobes such as Halicephalobus 52 Table 2Length of spicules of nematodes reported to infect the eye as larvae.SpeciesUsual site in definitive hostRange of length of spicules (μm)RightLeft Baylisascaris procyonis 2 , 47 , 48 Raccoon380–620380–620 Gnathostoma species 2 , 18 , 49 Carnivores400–8001100–2600 Toxocara canis 2 , 18 Dog750–1300750–1300 Toxocara cati 2 , 50 Cat1700–19001700–1900 Trichinella spiralis 51 Human, swine, bears, raccoon, foxesNo spicules…”
Section: Discussionmentioning
confidence: 99%
“…Though this may have been a mechanism in one patient who was a contact lens wearer (Case 3), there was no source of trauma or microtrauma in the other two cases. Rare corneal involvement has been documented with onchocerciasis 2 , 12 and gnathostomiasis 49 …”
Section: Discussionmentioning
confidence: 99%
“…49 The commonest ocular feature is anterior uveitis. 50,51,52 There are other ocular features like lid swelling, iris atrophy, iris holes, intraocular haemorrhage, glaucoma, retinal scars and retinal detachment.…”
Section: Onchocerca Volvulusmentioning
confidence: 99%