title: Onchocerciasis-associated limb swelling in a traveler returning from Cameroon.
abstract: Travelers to West Central Africa are at risk for infection with Onchocerca volvulus. We describe the case of an adventurous traveler who became infected with O volvulus after a 10-day stay in rural Cameroon. Two years after his return, he was diagnosed with a 3-month history of limb swelling with pruritus and fixed edema of the right arm. He was successfully treated by a single dose of ivermectin, with an additional treatment with doxycycline. The patient was followed-up during 1 year after therapy without relapse. Such travelers experiencing unusual dermatitis syndromes should prompt evaluation for onchocerciasis.
authors.affiliation: Department of Dermatology, University Hospital Center, Hôpital Erasme, Brussels, Belgium.
authors.forename: Khaled
authors.initials: K
authors.lastname: Ezzedine
authors.forename: Denis
authors.initials: D
authors.lastname: Malvy
authors.forename: Ines
authors.initials: I
authors.lastname: Dhaussy
authors.forename: Emmanuelle
authors.initials: E
authors.lastname: Steels
authors.forename: Carine
authors.initials: C
authors.lastname: Castelein
authors.forename: Gilbert
authors.initials: G
authors.lastname: De Dobbeler
authors.forename: Michel
authors.initials: M
authors.lastname: Heenen
mesh_terms: D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D002163:Cameroon; D004487:Edema / Q000209:etiology*; D006801:Humans; D007559:Ivermectin / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D017181:Onchocerca volvulus / Q000302:isolation & purification; D009855:Onchocerciasis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D014195:Travel; D016896:Treatment Outcome; D034941:Upper Extremity
chemical_list: D000871:Anthelmintics; D007559:Ivermectin