[Acute eosinophilic pneumonia and the larva migrans syndrome: apropos of a case in an adult].
Toxocariasis is a frequent disease in children, but the severe clinical manifestations are rare in the literature (diffuse interstitial pneumonia with hypoxaemia and acute severe asthma). The diagnosis is made thanks to the reliability of serological techniques (the ELISA test and using antigen excretion-secretion tests of the larvae of Toxocara canis). The authors report a case of acute severe eosinophilic pneumonia whose outcome was rapidly favourable following steroid therapy; the existence of positive Toxocara canis serology with a contamination risk of the patient in the domestic environment leads us to integrate the clinical picture into the larva migrans syndrome.
Clinique de Pneumologie, CHU de Grenoble.
O
O
Bouchard
F
F
Arbib
B
B
Paramelle
C
C
Brambilla
D000328:Adult; D000818:Animals; D000909:Antibodies, Helminth / Q000032:analysis; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D006801:Humans; D007073:Immunoglobulin E / Q000032:analysis; D007816:Larva Migrans, Visceral / Q000150:complications* / Q000175:diagnosis; D008775:Methylprednisolone / Q000627:therapeutic use; D011657:Pulmonary Eosinophilia / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D017166:Toxocara canis
D000909:Antibodies, Helminth; D007073:Immunoglobulin E; D008775:Methylprednisolone
Pneumopathie éosinophilique aiguë et syndrome de Larva migrans. A propos d'un cas chez un adulte.