2001, Number 3
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Rev Mex Patol Clin Med Lab 2001; 48 (3)
Eosinophilic pneumonia secondary to visceral larva migrans in children
Vázquez TO, Campos RT, López SN, Martínez-Barbabosa I, Romero CR
Language: Spanish
References: 12
Page: 156-160
PDF size: 83.93 Kb.
ABSTRACT
Infection with
Toxocara sp larvae may occur in children and can cause a serious systemic illnes known as visceral
larva migrans. Eosinophilic pneumonia also occurs in children and is frequently associated with systemic disease. Hyperleukocytosis, eosinophilia and
Toxocara serology using an enzyme linked immunosorbent assay (ELISA) to detect antibodies is helpful. We expose a case of an 2.5 years old boy with eosinophilic pneumonia by
Toxocara sp. Diagnosis of visceral
larva migrans, was suspected by clinical findings (geophagism, fever, cough, polypnoea, hepatomegaly, dermic lesions, lung infiltrates and hyperleukocytosis with eosinophilia) and confirmed by ELISA. The patient was treated with albendazol and steroids. Therapy was, administered with satisfactory evolution. We suggest that part of the diagnostic approach in cases of visceral
larva migrans should include antecedents of intense geophagism, clinical manifestations, ELISA, radiodiagnosis and ophtalmoscopy.
REFERENCES
Beaver PC, Snyder CH, Carrera MG, Dent JH, Lafferty JW. Chronic eosinophilia due to visceral larva migrans. Pediatrics 1952; 9: 7-19.
Beaver PC. The nature of visceral larva migrans. J Parasitol 1969; 55: 3-12.
Glickman LT, Cypress RH, Crumrie PK, Gitlin DA. Toxocara infection and epilepsy in children. J Pediatr 1979a; 94: 74-78.
Glickman LT, Schantz PM. Epidemiology and pathogenesis of zoonotic toxocariosis. Epidemiol Rev 1981; 3: 230-250.
Schantz PM. Toxocara larva migrans now. Am J Trop Med Hyg 1989; 4:suppl: 21-34
Kerr-Muir MG. Toxocara canis and human health. Br Med J 1994; 309: 5-6.
Schantz PM. Coexistence of Toxocara and Toxascaris in dogs in Mexico City. J Parasitol 1968; 54: 185-186.
Vázquez TO, Ruiz HA, Martínez BI, Merlin MP, Tay ZJ, Pérez TA. Contaminación de suelos por huevos de Toxocara sp. en parques públicos y jardines de casas-habitación de la ciudad de México. Bol Chil Parasitol 1996; 51: 54-58.
Martínez-Barbabosa I, Fernández PAM, Vázquez TO, Ruiz HA. Frecuencia de Toxocara canis en perros y áreas verdes del sur de la ciudad de México, Distrito Federal. Vet Méx 1998; 29: 239-244.
Salpunar J. Parasitosis del pulmón. En: Antonio Atías. Parasitología Médica. Ed Mediterráneo 1999: 426-434.
Tuneu A. El eosinófilo. Estructura, función y su participación en patología cutánea. Piel 1987; 2: 233-40.
Martínez-Barbabosa I, Gutiérrez QM, Fernández PAM, Pérez LJ, Vázquez TO, García YY. Reactividad serológica a antígeno de Toxocara canis en una población escolar. Rev Mex Patol Clin 1997; 44: 85-89.