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A 14-year-old female refugee from Cameroon was admitted to our clinic for a medical checkup two weeks after arriving in Germany. Her medical history was notable only for multiple episodes of malaria. At presentation, the young woman reported complete well-being, with no ocular problems, transient or Calabar swellings, or pruritus. The physical examination and the results of routine laboratory testing were unremarkable except for an eosinophil count of 1200 cells per cubic millimeter (17 percent). Direct examination of blood revealed highly motile microfilariae (Video Clip, arrow). Giemsa-stained thick blood films confirmed Loa loa microfilariae as well as ring . . . [Full Text of this Article] |