A skin snip is performed, and microfilariae with tapered tails, no nuclei, and unsheathed are microscopically observed. The recommended therapy for this infection is:

a. ivermectin.
b. diethylcarbamazine.
c. antihistamines.
d. mebendazole.


A
The organism is O. volvulus. Definitive diagnosis is made with the identification of the adult worm from tissue such as in a nodule or skin snip. The microfilaria lacks a sheath. The tail is ta-pered, appears bent or flexed, and does not include nuclei. Ivermectin is the rec-ommended treatment.

Biology & Microbiology

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