An adult worm in the eye.

We report a case of ocular loiasis in a 9 yrs old girl. Very few case reports of ocular loiasis have published from India to date. Loa loa is a subcutaneous filarial parasite of man and known to be transmitted to humans by Chrysops flies. Patient presented with visual disturbances due to worm in her eye. A live adult worm was extracted and identity was confirmed by gross and microscopic examination to be Loa loa. Patient was treated with albendazole, gentamicin and steroids.

Cerebral phaeohyphomycosis – could early diagnosis have saved the patient.

Cladophialophora bantiana brain abscess is a rare and frequently fatal infection, often seen in immunocompetent individuals. 34 year old immunocompetent woman who presented with convulsions is reported. She was initially treated with antituberculous drug. During 15 days of treatment, she deteriorated. Hence she underwent craniotomy, which revealed brain abscesses due to C. bantiana. Subsequently she was treated with fluconazole , but eventually succumbed to the infection on the 7th day of treatment. Mortality remains high with this rare mycosis, even in immunocompetent patients. The case illustrates the clinical and radiological similarities between tuberculoma and other etiologies of brain abscesses. This emphasizes the need to perform histological and microbiological studies prior to the initiation of any form of therapy.