title: [Visceral larva migrans with cardiac manifestation: a case report and literature review].
abstract: BACKGROUND
  Toxocariasis is a roundworm infection that may be associated with serious cardiac manifestations. We report one case and review another 12 cases in the literature.
  
  
  METHODS
  A 74-year-old man, presented with clinical features of myopericarditis. Eosinophil count was 20,000/mm(3). The ELISA and Western Blot were positive for Toxocara canis. The patient was treated with corticosteroids and antiparasite treatment. The outcome was rapidly favorable.
  
  
  CONCLUSIONS
  In the other 12 cases, the cardiac manifestations were often severe: six myocarditis, three tamponades and three Loeffler's endocarditis have been published. Four therapeutic strategies have been reported: symptomatic treatment alone was associated with worse progressive; antiparasite treatment alone or companied with corticosteroids and corticosteroids alone had good results.
  
  
  CONCLUSIONS
  The toxocariasis should be investigated systematically in case of eosinophilic cardiomyopathy. The treatment strategy is still controversial.
authors: Service de médecine interne, CHU Gabriel-Montpied, 58, rue Montalembert, 63000 Clermont-Ferrand, France. Electronic address: annelemaireplateau@gmail.com.
authors: A
authors: A
authors: Lemaire
authors: Service de médecine, centre hospitalier Henri-Mondor, 15000 Aurillac, France.
authors: S
authors: S
authors: Trouillier
authors: Service de médecine, centre hospitalier Henri-Mondor, 15000 Aurillac, France.
authors: F
authors: F
authors: Samou
authors: Service de médecine interne, CHU Gabriel-Montpied, 58, rue Montalembert, 63000 Clermont-Ferrand, France.
authors: I
authors: I
authors: Delevaux
authors: Service de médecine interne, CHU Gabriel-Montpied, 58, rue Montalembert, 63000 Clermont-Ferrand, France.
authors: O
authors: O
authors: Aumaître
mesh_terms: D000368:Aged; D004802:Eosinophilia / Q000469:parasitology; D006801:Humans; D007816:Larva Migrans, Visceral / Q000175:diagnosis*; D008297:Male; D009205:Myocarditis / Q000469:parasitology*; D010493:Pericarditis / Q000469:parasitology*
keywords: Myopericarditis; Myopéricardite; Toxocariasis; Toxocarose