[First case of human toxocariasis (?) with adult worms in the circulatory system, detected by the presence of embryonated eggs in hemolysis concentration].
Ascarids's eggs were found by blood concentration in a Cameroonese patient with hypereosinophilia. Eggs, similar to those of Toxocara canis or cati, were present in 6 blood concentrations carried out during 7 weeks. These eggs (70-75 x 100-112 microns) contained embryos and hatching of 437-504 microns long larvae was sometimes observed. The presence of adult worms in a well oxygenated localization (e.g.; the left ventricle) was supposed. A pleural effusion was also observed but the low number of eosinophils in the pleural fluid (3%) eliminated the responsibility of the parasite. The treatment by thiabendazole for an associated strongyloidosis was well tolerated but inefficient. On the contrary, the treatment by diethylcarbamazine, well tolerated, induced the disparition of the circulating eggs. This result was confirmed by 6 blood concentrations carried out during 6 months.
Lapierre
J
J
Service de Parasitologie et Médecine tropicale, Hôpital Cochin, Paris.
Petithory
J
J
Tourte-Schaefer
C
C
Hien
T V
TV
Holler
C
C
Saison
E L
EL
Rondier
J
J
Bouchacourt
P
P
D000328:Adult; D000818:Animals; D004802:Eosinophilia / Q000209:etiology / Q000469:parasitology; D006801:Humans; D008297:Male; D013997:Time Factors; D014119:Toxocara / Q000302:isolation & purification*; D014120:Toxocariasis / Q000097:blood* / Q000469:parasitology
Premier cas de toxocarose humaine (?) à localisation circulatorie de vers adultes, dépistée par la présence d'oeufs embryonnés à l'hémolyse concentration.