title: [Visceral larva migrans in adults with severe pulmonary manifestations].
abstract: BACKGROUND
  Toxocariosis, the most frequent cause of visceral larva migrans, is usually a disease of children due to ingestion of eggs from the roundworm of dogs (Toxocara canis). Clinical expression varies from an symptomatic state to fuminant disorders; hepatomegaly with fever is frequent. Severe symptoms (rarely in adults) may occur.
  
  
  METHODS
  A 42-year-old male with no past medical history complained of sudden onset pulmonary disorders. Laboratory findings included eosinophilia on blood tests, a severe respiratory obstructive syndrome and positive serum tests for Toxocara canis. All clinical and biological abnormalities regressed in a few weeks.
  
  
  CONCLUSIONS
  Diagnosis of visceral larva migrans is exceptional in adults and can only be proven by positive serological tests. Correct treatment remains under debate.
authors.affiliation: Département des Maladies parasitaires et tropicales, Hôpital de Bicêtre, Le Kremlin-Bicêtre.
authors.forename: P
authors.initials: P
authors.lastname: Bourée
authors.forename: E
authors.initials: E
authors.lastname: Grimault
authors.forename: J
authors.initials: J
authors.lastname: Fromentin
authors.forename: H
authors.initials: H
authors.lastname: Tandjaoui-Lambiotte
authors.forename: A
authors.initials: A
authors.lastname: Tazi
authors.forename: J P
authors.initials: JP
authors.lastname: Battesti
mesh_terms: D000328:Adult; D000367:Age Factors; D000818:Animals; D006801:Humans; D007816:Larva Migrans, Visceral / Q000150:complications* / Q000469:parasitology / Q000628:therapy; D008171:Lung Diseases / Q000209:etiology* / Q000469:parasitology / Q000628:therapy; D008297:Male; D013997:Time Factors; D017166:Toxocara canis
vernacular_title: Larva migrans viscérale de l'adulte avec manifestations pulmonaires sévères.