title: [Visceral larva migrans: a mixed form of presentation in an adult. The clinical and laboratory aspects].
abstract: We relate a case of an 18-year-old man, resident of Xapuri (state of Acre, Brazil), with a history of repeated episodes of meningoencephalitis (three in one year), each one was examined by a local doctor. In our service (Emílio Ribas Institute of Infectology) we observed a patient with polyjoint aches, radiological and bronchoscopic pulmonary alterations (without clinical features), meningeal and brain stem manifestations--with normal brain computed tomography and cerebrospinal fluid. Blood eosinophils and serological Toxocara canis test (ELISA) were greatly increased. With the hypothesis of Toxocariasis (visceral larva migrans) we administered thiabendazole that brought complete clinical and laboratory remission. Inspite of a new episode of headache with meningeal manifestation approximately one month later (treated with dexamethasone resulting in a full remission after three days) we have not found other manifestations in approximately three and a half years of ambulatory care.
authors.affiliation: Instituto de Infectologia Emílio Ribas, Instituto de Medicina Tropical de São Paulo, Brasil.
authors.forename: L A
authors.initials: LA
authors.lastname: Barra
authors.forename: W F
authors.initials: WF
authors.lastname: dos Santos
authors.forename: P P
authors.initials: PP
authors.lastname: Chieffi
authors.forename: E A
authors.initials: EA
authors.lastname: Bedaque
authors.forename: P S
authors.initials: PS
authors.lastname: Salles
authors.forename: C G
authors.initials: CG
authors.lastname: Capitão
authors.forename: S
authors.initials: S
authors.lastname: Vianna
authors.forename: R
authors.initials: R
authors.lastname: Hanna
authors.forename: L
authors.initials: L
authors.lastname: Pedretti Júnior
mesh_terms: D000293:Adolescent; D000818:Animals; D000909:Antibodies, Helminth / Q000097:blood; D000969:Antinematodal Agents / Q000008:administration & dosage; D001938:Brazil; D002908:Chronic Disease; D003907:Dexamethasone / Q000627:therapeutic use; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007816:Larva Migrans, Visceral / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D012008:Recurrence; D013827:Thiabendazole / Q000008:administration & dosage; D017166:Toxocara canis / Q000276:immunology
chemical_list: D000909:Antibodies, Helminth; D000969:Antinematodal Agents; D005938:Glucocorticoids; D003907:Dexamethasone; D013827:Thiabendazole
vernacular_title: Larva migrans visceral: forma mista de apresentação em adulto. Aspectos clínicos e laboratoriais.