[Toxocariasis in an adult manifested as hypereosinophilic syndrome with predominant neurological involvement. Clinical case].
Hypereosinophilic syndrome is characterized by persistent hypereosinophilia and signs or symptoms due to organ involvement, specially nervous system, heart and skin. It can be primary or secondary to allergies, parasites or cancer. Toxocariasis is an uncommon parasitic disease in adults. There is a variant, called visceral larva migrans, that can involve different organs, and among those, the central nervous system. We report a 61 years old male, with a cerebrovascular disease. There were focalizing symptoms, the CAT scan showed multiple ischemic lesions and a peripheral eosinophilia of 12,152 cells/mm3 was present. Anti toxocara IgG antibody titers were 1/1000. The patient was treated with albendazole for 14 days. After a 2 years follow up the patients is in good conditions and, for the first time, his eosinophil count is within normal limits.
Ardiles
A
A
Policlínico de Medicina Integral, Servicio de Medicina, Hospital San Juan de Dios, Huérfanos 3255, Santiago.
Chanqueo
L
L
Reyes
V
V
Araya
L
L
D000818:Animals; D000909:Antibodies, Helminth / Q000302:isolation & purification; D006801:Humans; D017681:Hypereosinophilic Syndrome / Q000469:parasitology*; D007074:Immunoglobulin G / Q000302:isolation & purification; D007816:Larva Migrans, Visceral / Q000150:complications* / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D009422:Nervous System Diseases / Q000469:parasitology*; D017166:Toxocara canis / Q000276:immunology / Q000302:isolation & purification*
D000909:Antibodies, Helminth; D007074:Immunoglobulin G