{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T19:18:17Z","timestamp":1773343097211,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,5,24]],"date-time":"2025-05-24T00:00:00Z","timestamp":1748044800000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100013788","name":"Facult\u00e9 des Sciences et de M\u00e9decine, Universit\u00e9 de Fribourg","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100013788","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    A 31\u2010year\u2010old Cameroonian man presented to the emergency department (ED) with a productive cough, exertional dyspnoea, and asthenia for a few days. The initial evaluation was limited due to cultural barriers, lack of known medical history, and the patient's migration journey through Libya, Tunisia, and Germany over the past 5\u2009years before recently arriving in Switzerland. Clinical examination revealed no red flags. Blood counts were normal, C\u2010reactive protein (CRP) was elevated at 91\u2009mg\/L, and a chest X\u2010ray was unremarkable. A diagnosis of influenza\u2010like syndrome was made. The patient returned the following day with increased fatigue and fever. A rapid malaria test was negative, a blood smear was ordered, and CRP levels rose to 148\u2009mg\/L. During an influenza epidemic, PCR confirmed Influenza A. The patient was reassured and prescribed ibuprofen and paracetamol. Subsequently, the laboratory detected not malaria but filariae, and a diagnosis of Loiasis (\n                    <jats:italic>Loa loa<\/jats:italic>\n                    ) was established. The patient was referred for specialist consultation. Treatment with albendazole was initiated, leading to gradual improvement.\n                  <\/jats:p>","DOI":"10.1002\/ccr3.70518","type":"journal-article","created":{"date-parts":[[2025,5,24]],"date-time":"2025-05-24T08:20:32Z","timestamp":1748074832000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Serendipity in Emergency Diagnostics: Near Miss of a\n                    <i>Loa loa<\/i>\n                    Case in a Swiss Hospital"],"prefix":"10.1002","volume":"13","author":[{"given":"Azad","family":"Durussel","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine University and Teaching Hospital  Fribourg Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8965-5846","authenticated-orcid":false,"given":"S\u00e9bastien","family":"Pugnale","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University and Teaching Hospital  Fribourg Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ludovic","family":"Galofaro","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University and Teaching Hospital  Fribourg Switzerland"},{"name":"Faculty of Science and Medicine University of Fribourg  Fribourg Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean\u2010Luc","family":"Magnin","sequence":"additional","affiliation":[{"name":"Department of Laboratory University and Teaching Hospital  Fribourg Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Youcef","family":"Guechi","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University and Teaching Hospital  Fribourg Switzerland"},{"name":"Faculty of Science and Medicine University of Fribourg  Fribourg 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