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This young child living in West Africa for a number of years presented with periorbital and cheek swelling of 2 days duration. There was no fever. The swelling was only mildly uncomfortable and not tender. Conjunctiva were normal as was vision. He gave a history of 3-4 day painless subcutaneous swellings occurring in various parts his body every few months for the past several years. This swelling lasted only 3 days before disappearing without sequelae.
Diagnosis:
He has Calabar swellings due to聽Loa loa. Microfilaria of聽Loa loa聽were found on nucleopore filtration of his blood. Filaria serology (Dirofilaria immitis聽antigen) was positive. He never described an eye worm.
