Published online Nov 12, 2013. doi: 10.5318/wjo.v3.i4.38
Revised: November 1, 2013
Accepted: November 5, 2013
Published online: November 12, 2013
Human infection of Toxocara canis in eye is usually an outcome of accidental ingestion of the embryonated eggs. The average age at diagnosis of ocular Toxocariasis is 7.5 years, ranging from 2 to 31 years. It constitutes 1%-2% of uveitis in children. Diagnosis is based upon the clinical features observed in a young patient and confirmed by the presence of specific IgG in the serum or aqueous humor by Enzyme-linked immunosorbent assay test. We report a case of Presumed Toxocara infection in 45-year-old male which is unique in presentation with multifocal granulomata in retina. Our PubMed search could not produce case with similar presentation. Probably this is the first reported case of multifocal granulomata in presumed ocular Toxocara in any age group
Core tip: Toxocara infection is one of the causes of posterior uveitis. Diagnosis is often made by presence of larvae in the choroidal granuloma. The aim of this study is to focus on the diagnosis of case where presence of multifocal granuloma and absence of larvae in granulaoma makes the diagnosis atypical. A combination of history, clinical examination, laboratory tests and histopathological analysis is important before reaching any diagnosis.