Intravitreal Onchocerca sp. With Concomitant Cerebral MRI Lesion: A Case Report.
Supanji Supanji, Hifdza F Felisha, Dewi F Romdhoniyyah et al.
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Case in brief
A 24-year-old man from Jakarta presented with blurred vision, floaters, ocular discomfort, and headaches, unresponsive to uveitis treatment. Examination revealed a mobile, thread-like worm in the left vitreous, identified as O. lupi after vitrectomy. Postoperatively, ocular inflammation resolved, but visual acuity remained poor. MRI later showed a persistent white matter lesion in the left parietal lobe, with an uncertain etiology.
What made this case unusual
This case highlights the concurrent presence of an intravitreal O. lupi infection and a cerebral MRI lesion, raising questions about potential neurological involvement.
Diagnostic / clinical pearl
Clinicians should consider O. lupi infection in cases of unresolved uveitis, especially in endemic regions, to prevent irreversible visual damage.
Why it matters
Understanding the potential for neurological involvement in O. lupi infections can aid in comprehensive patient management and prompt further investigation when atypical symptoms arise.