A Rare Case of Congenitally Acquired Ocular Toxocariasis in A Five-Week-Old Infant.

Chris Or, James A David, Munraj Singh, H Sprague Eustis, D Anthony Mazzulla, Stephen Hypes, Joseph Benevento

Ocular immunology and inflammation 2021 Nov 17

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To report a case of strabismus in a five-week-old infant, likely secondary to a rare occurrence of congenitally acquired ocular toxocariasis. Retrospective case report. 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. 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.

Citation

Chris Or, James A David, Munraj Singh, H Sprague Eustis, D Anthony Mazzulla, Stephen Hypes, Joseph Benevento. A Rare Case of Congenitally Acquired Ocular Toxocariasis in A Five-Week-Old Infant. Ocular immunology and inflammation. 2021 Nov 17;29(7-8):1277-1279