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Correspondence
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Volume 346:1751 May 30, 2002 Number 22
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Case 1-2002: Loa loa

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 by Nutman, T. B.
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To the Editor: The case discussion by Nutman and Kradin (Jan. 10 issue)1 triggered the recollection of a case of Loa loa infection that I saw years ago as a Peace Corps physician in Cameroon, West Africa. A healthy young man noted migratory arthralgia of the joints. He had few, if any, constitutional symptoms. One wrist was red, warm, and swollen but fully mobile and mildly tender. We diagnosed infection with L. loa and began treatment with diethylcarbamazine.

Some weeks later, he reappeared with two gracile white worms preserved in ethanol. He reported that after a day or so of . . . [Full Text of this Article]

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