This is a short report describing the clinical presentation, investigations, treatment and outcome of a patient living in the Jamaican countryside who was diagnosed with a live, motile subfoveal helminth identified as Angiostrongylus cantonensis on optical coherence tomography at the University Hospital of the West Indies Eye Clinic. This is the second documented case in Jamaica. Early recognition of angiostrongyliasis is important as it may manifest as eosinophilic meningitis which can be fatal without prompt treatment.
WaughCALindoJFLorenzo-MoralesJ, et al.An epidemiological study of Angiostrongylus cantonensis in Jamaica subsequent to an outbreak of human cases of eosinophilic meningitis in 2000. Parasitology2016; 143: 1211–1217.
2.
MattisAMowattLLueA, et al.Ocular angiostrongyliasis-first case report from Jamaica. West Indian Med J2009; 58: 383–385.
3.
SawanyawisuthKKitthaweesinKLimpawattanaP, et al.Intraocular angiostrongyliasis: clinical findings, treatments and outcomes. Trans R Soc Trop Med Hyg2007; 101: 497–501.
4.
FengYNawaYSawanyavisuthK, et al.Comprehensive review of ocular angiostrongyliasis with special reference to optic neuritis. Korean J Parasitol2013; 51: 613–619.
