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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 Loa loa. Microfilaria of Loa loa were found on nucleopore filtration of his blood. Filaria serology (Dirofilaria immitis antigen) was positive. He never described an eye worm.
