Visceral larva migrans presenting as multiple intracranial and intraspinal abscesses.
Involvement of nervous system by toxocariasis is rare and can produce a spectrum of pathology that includes eosinophillic meningoencephalitis, meningomyelitis, space occupying lesions, vasculitis causing seizures or behavioral abnormalities posing diagnostic dilemmas. We describe a 38-year-old man who presented with multiple intracranial and intramedullary abscesses caused by visceral larva migrans. Neurohelminthiasis as a cause of multiple abscesses, though rare, should be entertained as a differential diagnosis particularly in tropical South-east Asian countries where helminthiasis is still an epidemiological concern prevalent in the pediatric age group.
Moiyadi
Alefia
A
Department of Neuropathology, National Institute of Mental Health and Neurosciences, Bangalore, India.
Mahadevan
Anita
A
Anandh
Balasubramaniam
B
Shivashankar
Ravi Shankar
RS
Chickabasavaiah
Yasha Thagadur
YT
Shankar
Susarla Krishna
SK
D000328:Adult; D000818:Animals; D001922:Brain Abscess / Q000382:microbiology* / Q000473:pathology; D020807:Central Nervous System Parasitic Infections / Q000473:pathology* / Q000503:physiopathology*; D003937:Diagnosis, Differential; D006801:Humans; D007816:Larva Migrans, Visceral / Q000473:pathology* / Q000503:physiopathology; D008100:Liver Abscess / Q000382:microbiology; D008297:Male; D013122:Spinal Diseases / Q000382:microbiology* / Q000473:pathology; D017166:Toxocara canis