Case Report
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World J Ophthalmol. Nov 12, 2013; 3(4): 38-40
Published online Nov 12, 2013. doi: 10.5318/wjo.v3.i4.38
Multifocal granulomata in presumed Toxocara canis infection in adult
Lakshmi Kuniyal, Jyotirmay Biswas
Lakshmi Kuniyal, Department of Vitreoretina, Sankara Nethralaya, Chennai, TN 600006, Andhra Pradesh, India
Jyotirmay Biswas, Department of Uvea, Sankara Nethralaya, Chennai, TN 600006, Andhra Pradesh, India
Author contributions: Kuniyal L and Biswas J contributed equally to this work.
Correspondence to: Dr. Lakshmi Kuniyal, MS, Department of Vitreoretina, Sankara Nethralaya, Pycrofts Garden Road, Chennai, TN 600006, Andhra Pradesh, India.
Telephone: +91-98-71076396 Fax: +91-98-71076396
Received: October 11, 2013
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

Keywords: Presumed, Toxocara canis, Ocular, Multifocal, Granulomata

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.