ABSTRACT
PURPOSE: To report a case of strabismus in a five-week-old infant, likely secondary to a rare occurrence of congenitally acquired ocular toxocariasis. METHODS: Retrospective case report. RESULTS: A five-week-old male infant with left exotropia was referred to pediatric ophthalmology and to a vitreoretinal specialist. Fundoscopic examination revealed a granuloma with associated retinal folds and tractional retinal detachment typical for ocular toxocariasis. Serology revealed positivity for Toxocara antibodies, consistent with the clinical diagnosis of ocular toxocariasis. CONCLUSION: Ocular toxocariasis is typically thought to be secondary to acquired Toxocara infection secondary to fecal-oral transmission. In this case of early-onset strabismus secondary to ocular toxocariasis, it is hypothesized that this is a presentation of congenitally acquired toxocariasis.
Subject(s)
Eye Infections, Parasitic/congenital , Infectious Disease Transmission, Vertical , Retinal Diseases/congenital , Toxocariasis/congenital , Animals , Antibodies, Helminth/blood , Eye Infections, Parasitic/diagnosis , Eye Infections, Parasitic/transmission , Humans , Infant , Male , Retinal Diseases/diagnosis , Retrospective Studies , Strabismus/congenital , Strabismus/diagnosis , Toxocara/immunology , Toxocariasis/diagnosis , Toxocariasis/transmissionSubject(s)
Eye Infections, Parasitic/diagnosis , Retina/pathology , Retinal Neoplasms/complications , Toxoplasmosis, Ocular/diagnosis , Adult , Eye Infections, Parasitic/complications , Eye Infections, Parasitic/congenital , Female , Fluorescein Angiography/methods , Fundus Oculi , Humans , Retinal Neoplasms/diagnosis , Tomography, X-Ray Computed , Toxoplasmosis, Ocular/complications , Toxoplasmosis, Ocular/congenitalABSTRACT
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