title: Marked hypereosinophilia in a toddler: a case report.
abstract: BACKGROUND
  Human toxocariasis is primarily a soil-transmitted zoonosis, so children with geophagia are at an increased risk of toxocariasis, especially those living in homes with puppies that have not been dewormed.
  
  
  METHODS
  A 17-months-old female presented to our department with fever, abdominal distention and marked eosinophilia. Iron deficiency anemia, marked leukocytosis (79,000 cells/mm(3)) accompanied by marked eosinophilia (55,000 cells/mm(3)), and hyper-gammaglobulinemia were noted. On the basis of the strong serological positivity for toxocariasis, marked eosinophilia, and low-density lesions in the liver at computed tomography, a diagnosis of visceral larva migrans syndrome was made.
  
  
  CONCLUSIONS
  Visceral larva migrans is usually suspected in a young child with history of geophagia, pets exposure, hepatomegaly, whose complete blood count reveals leukocytosis and marked eosinophilia.
authors.affiliation: Clinical Microbiology Department, Ovidius University, Constanta, Romania. stoicescu.ramona@gmail.com
authors.forename: R M
authors.initials: RM
authors.lastname: Stoicescu
authors.forename: C M
authors.initials: CM
authors.lastname: Mihai
authors.forename: A D
authors.initials: AD
authors.lastname: Giannakopoulou
mesh_terms: D000818:Animals; D004285:Dogs; D004802:Eosinophilia / Q000469:parasitology*; D005260:Female; D006801:Humans; D007223:Infant; D007816:Larva Migrans, Visceral / Q000150:complications* / Q000469:parasitology; D010842:Pica; D017166:Toxocara canis