TOXOCARA CANIS, A STOWAWAY THAT CROSSED THE SKY…

Authors

  • Andreia Filipa Mota Pediatric Department, Centro Hospitalar de Setúbal.
  • Virgínia Machado Pediatric Department, Centro Hospitalar de Setúbal.
  • Sofia Peças Pediatric Department, Centro Hospitalar de Setúbal.
  • Vera Viegas Pediatric Department, Centro Hospitalar de Setúbal.
  • Alexandra Emílio Pediatric Department, Centro Hospitalar de Setúbal.
  • Marisa Vicente Pediatric Department, Centro Hospitalar de Setúbal.

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v25.i2.9526

Keywords:

Zoonosis, toxocariasis, eosinophilia, pneumonia.

Abstract

Human toxocariasis is primarily a soil-transmitted helminth zoonosis, common in children. Children living in areas with poor sanitary conditions, in close contact with pets not dewormed and with geophagia, are at high risk of toxocariasis.
A 5-year-old boy, who lived in Cape Verde until a month ago, presented at our emergency department with fever, cough and respiratory distress. His lab tests showed leukocytosis and marked eosinophilia. Thoracic tomography-computer scan showed an irregular hyperdensity in the right lung base. The Toxocara canis serology suggested acute infection. We admitted visceral larva migrans syndrome, and started the adequate therapeutic.
Visceral larva migrans syndrome may involve several organs, however severe pulmonary disease is rare. Despite being mainly asymptomatic and self-limited, if there are symptoms, its nonspecificity associated to limitation of serological results makes the diagnosis and the appropriate approach difficult.

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References

Lim J-H. Foodborne eosinophilia due to visceral larva

migrans: a disease abandoned. Journal of Korean Medical

Sciences 2011; 27: 1-2. doi:10.3346/jkms.2012.27.1.1.

Stoicescu RM. Marked hypereosinophilia in a toddler: a case

report. Journal of Medicine and Life 2011; 4: 105-8.

Mustafa D, Mehmet Ü, Fatma F, Selçuk K. Eosinophilic

pneumonia due to Toxocariasis: an adult case report. Turkiye

Parazitol Derg 2012; 36: 258-9. doi: 10.5152/tpd.2012.61.

Lim Y et al. Pulmonary Toxocariasis masquerading as

metastatic tumor nodules in a child with osteosarcoma.

Pediatr Blood Cancer 2009. 53: 1343–5. doi: 10.1002/

pbc.22213.

Pinelli E, Herremans T, Harms MG, Hoek D, Kortbeek

LM. Toxocara and Ascaris seropositivity among patients

suspected of visceral and ocular larva migrans in the

Netherlands: trends from 1998 to 2009. Eur J Clin Microbiol

Infect Dis 2011; 30: 873–9. doi: 10.1007/s10096-011-1170-

Castelo TM, Dinis A, Rocha G. Toxocarose. Protocolo de

Actuação. Acta Pediatr Port 2008; 39(4): 171-5.

Magnaval JF, Glickman LT, Dorchies P, Morassin B.

Highlights of human toxocariasis. Korean J Parasitol.

;39:1-11. doi:10.3347/kjp.2001.39.1.1.

Despommier D. Toxocariasis : clinical aspects , epidemiology,

medical ecology , and molecular aspects. Clin Microbiol Rev

;16:265-272. doi:10.1128/CMR.16.2.265.

Ecevit Ç, Bağ Ö, Vergin C, Öztürk A. Visceral larva migrans

presenting with hypereosinophilia. Turkiye Parazitol Derg

; 37: 58-60. doi: 10.5152/tpd.2013.15.

Yu T, Zhao L-N, Fan M-J, Wu H, Chen Q-K. Visceral larva

migrans associated with earthworm and gecko ingestion: a

case report. Journal of Medical Case Reports 2012, 6: 210-

doi:10.1186/1752-1947-6-210.

Carvalho E, Rocha R. Toxocaríase: larva migrans visceral em

crianças e adolescentes. J Pediatr (Rio J) 2011; 87: 100-110.

doi:10.2223/JPED.2074.

Moreira-Silva SF, Rodrigues MG, Pimenta JL, Gomes CP,

Freire LH, Pereira FEL. Toxocariasis of the central nervous

system: with report of two cases. Rev Soc Bras Med Trop.

;37:169-174. doi:10.1590/S0037-86822004000200011.

Altcheh J, Nallar M, Conca M, Biancardi M, Freilij

H. Toxocariasis: aspectos clínicos y de laboratorio

en 54 pacientes. An Pediatría. 2003;58:425-431.

doi:10.1157/13046522.

Turrientes MC et al. Visceral larva migrans in immigrants

from latin america. Emerging Infectious Diseases 2011; 17:

-5. doi: 10.3201/eid1707.101204.

Nunes, Cáris Maroni et al. Cross-reactions between Toxocara

canis and ascaris suum in the diagnosis of visceral larva

migrans by western blotting technique. Rev. Inst. Med. trop.

S. Paulo [online]. 1997, vol.39, n.5, pp. 253-256. Doi:10.1590/

S0036-46651997000500002.

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Published

2016-06-21

How to Cite

1.
Mota AF, Machado V, Peças S, Viegas V, Emílio A, Vicente M. TOXOCARA CANIS, A STOWAWAY THAT CROSSED THE SKY…. REVNEC [Internet]. 2016Jun.21 [cited 2024Nov.9];25(2):113-7. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/9526

Issue

Vol. 25 No. 2 (2016)

Section

Case Reports

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