[Visceral larval migrans (Human toxocariasis) cause of hypereosinophilia and visceral granulomas in adults].
A 24-year-old woman 2-3 months after a normal parturation presented geophagy. Due to hypermenorrhea she consulted a gynecologist and in a hemogram a 57% (6,893 x mm3) hypereosinophilia was detected. A chest TAC showed bilateral pulmonary nodules. The following tests resulted positive: ELISA IgG for toxocariasis 1:1000, isohemagglutinins anti A 1:2048 and anti B 1:512. The patient was treated with albendazole and prednisone during 10 days. One month after treatment eosinophilia decreased to 2.590 x mm3 and ELISA IgG for toxocariasis descended to 1:128. Different aspects of human toxocariasis are commented. When hypereosinophia is observed in adult patients, toxocariasis must be checked.
Sapunar
J
J
Departamento de Medicina, Hospital Clínico, Universidad de Chile.
Fardella
P
P
D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D005260:Female; D006099:Granuloma / Q000209:etiology* / Q000469:parasitology; D006801:Humans; D017681:Hypereosinophilic Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000469:parasitology; D007816:Larva Migrans, Visceral / Q000150:complications*; D011241:Prednisone / Q000627:therapeutic use; D014120:Toxocariasis / Q000188:drug therapy
D015766:Albendazole; D011241:Prednisone